Chorioamnionitis

Question 1

Causes of chorioamnionitis

Answer 1

Typically due to ascending infection by organisms of normal vaginal flora
Typically due to ascending infection by organisms of normal vaginal flora

Question 2

Incidence of chorioamnionitis

Answer 2

Commoner in prematurity

Incidence 1-5% of term pregnancies and up to 25% in preterm deliveries

Question 3

Risk factors for Chorioamnioitis

Answer 3

Prolonged ROM
Long labor
Multiple vaginal exams during labor
internal monitoring
Bacterial vaginosis and other vaginal infections

Question 4

Clinical features of chorioamnionitis

Answer 4

Maternal fever
maternal or fetal tachycardia
uterine tenderness
foul and purulent cervical discharge

Question 5

Ix of chorioamnionitis

Answer 5

FBC: leukocytosis

Amniotic fluid: leukocytes or bacteria

Question 6

Tx of chorioamnionitis

Answer 6

IV antibiotics: Ampicillin and gentamicin. Clindamycin if C/S for anaerobic
expedient delivery regardless of gestational age

Question 7

Complications of Chorioamnionitis

Answer 7

Bacteremia of mother or fetus, wound infection if C/S, pelvic abscess, infant meningitis.