II. Risk Factors
- Prolonged Rupture of Membranes
- Multiple intrapartum vaginal exams
- Internal monitoring
- Chorioamnionitis in prior pregnancy (2 fold risk)
III. Signs
- Maternal Fever with Temperature > 100.7 F
- No obvious source other than Uterus
- Associated findings suggestive of Chorioamnionitis
- Fetal Tachycardia
- Maternal Tachycardia
- Abdominal tenderness
- Foul smelling amniotic fluid
IV. Labs
- Complete Blood Count
- Amniotic fluid culture
V. Differential Diagnosis
VI. Management
- Chorioamnionitis is not an indication for Cesarean Section
- See Chorioamnionitis Antibiotic Management
VII. Course
- Fetal outcome improves with
- Antibiotics
- Defervescence