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Here, we investigated mechanisms of amnion healing.

Preclinical mouse model of sterile ruptured membranes. (A) Macroscopic images of ruptured fetal membranes with 26 G needle.

Small rupture induced transient upregulation of cytokines whereas large ruptures elicited sustained upregulation of proinflammatory cytokines in the fetal membranes.

Fetal macrophages from amniotic fluid were recruited to the wounded amnion where macrophage adhesion molecules were highly expressed.

Preterm premature rupture of membrane (p PROM) is defined as the rupture of membrane occurring before 37 weeks of gestation, which is associated with 30–40% of preterm deliveries and occurs in approximately 1–3% of all pregnancies.

Infection-related p PROM requires immediate intervention (delivery) for fear of infection to fetus such as fetal inflammatory syndrome, which is a risk of severe neonatal morbidity with respiratory distress syndrome, neonatal sepsis, pneumonia, chronic lung disease, necrotizing enterocolitis, intraventricular hemorrhage, and cerebral palsy, as well as maternal complication such as sepsis.

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