Chorioamnionitis

OVERVIEW

Chorioamnionitis refers to intra-amniotic infection which is characterized by inflammation of the fetal membranes (amnion and chorion).

Source
Source
WHAT CAUSES IT?

Typically some sort of bacterial infection is responsible for this condition.

WHAT MAKES US SUSPECT IT?

Risk Factors:

Preterm rupture of membranes, prolonged rupture of membranes.

Initial Presentation:

  • Maternal fever
  • Uterine tenderness
  • Fetal tachycardia
CLINICAL WORKUP

CBC can reveal an elevated white count.

Amniocentesis can reveal: 

  • Low amniotic glucose level (less then 20 mg/dl)
HOW DO WE TREAT IT?

When chorioamnionitis is suspected the following should be done:

  • Administer broad spectrum antibiotics
  • Delivery should be hastened with induction or augmentation
  • In the case of nonreassuring fetal tracing, baby should be delivered with cesarean section.
WHAT ELSE ARE WE CONCERNED ABOUT?

Neonatal sepsis: this condition is the most common precursor for neonatal sepsis.

ARCHIVE OF STANDARDIZED EXAM QUESTIONS 

This archive compiles standardized exam questions that relate to this topic.

 

Page Updated: 10.27.2016