//fpnotebook.com/
Chorioamnionitis
Aka: Chorioamnionitis, Intra-Amniotic Infection
- See Also
- Endometritis
- Group B Streptococcus Prophylaxis
- Risk Factors
- Prolonged Rupture of Membranes
- Multiple intrapartum vaginal exams
- Internal monitoring
- Chorioamnionitis in prior pregnancy (2 fold risk)
- Laibl (2006) Obstet Gynecol 108: 1493-7 [PubMed]
- 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
- Labs
- Complete Blood Count
- Leukocytosis
- Amniotic fluid culture
- Differential Diagnosis
- Pyelonephritis
- Pneumonia
- Appendicitis
- Management
- Chorioamnionitis is not an indication for Cesarean Section
- See Chorioamnionitis Antibiotic Management
- Course
- Fetal outcome improves with
- Antibiotics
- Defervescence
- Complications
- Neonatal Sepsis
- Maternal Sepsis
- Postpartum Hemorrhage
- Labor Dystocia