II. Risk Factors

  1. Prolonged Rupture of Membranes
  2. Multiple intrapartum vaginal exams
  3. Internal monitoring
  4. Chorioamnionitis in prior pregnancy (2 fold risk)
    1. Laibl (2006) Obstet Gynecol 108: 1493-7 [PubMed]

III. Signs

  1. Maternal Fever with Temperature > 100.7 F
  2. No obvious source other than Uterus
  3. Associated findings suggestive of Chorioamnionitis
    1. Fetal Tachycardia
    2. Maternal Tachycardia
    3. Abdominal tenderness
    4. Foul smelling amniotic fluid

IV. Labs

  1. Complete Blood Count
    1. Leukocytosis
  2. Amniotic fluid culture

V. Differential Diagnosis

VI. Management

  1. Chorioamnionitis is not an indication for Cesarean Section
  2. See Chorioamnionitis Antibiotic Management

VII. Course

  1. Fetal outcome improves with
    1. Antibiotics
    2. Defervescence

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