Chorioamnitis

Question 1

what is chorioamnitis?

Answer 1

inflammation of the amniochorionic (fetal) membranes of the placenta, typically in response to microbial invasion

Question 2

cause- chorioamnitis?

Answer 2

96% ascending polymicrobial infection

-E.coli
-mycoplasma
-anaerobes
-group B strep

Question 3

risk factors- chorioamnitis?

Answer 3

anything that introduces microbes into the uterus

-invasive pre natal testing
-prolongued rupture of membranes
-prolonged labour
-repeated digital exams
-nullparity
-meconium stained liquor

Question 4

chorioamnitis- presentation?

Answer 4

-offensive PV loss
-maternal pyrexia
-abdominal pain
-fetal CTG concerns

Question 5

what temperature should a mother have to suspect chorioamnitis?

Answer 5

suspect it at 39 degrees

Question 6

how is chorioamnitis diagnosed?

Answer 6

Diagnosis typically not confirmed until after delivery when sample of fetal membranes is taken or through amniotic testing

Question 7

treatment- chorioamnitis?

Answer 7

Broad-spectrum antibiotics
-Delivery - if not in established labour needs IOL or LUSCS (C section)
-Subsequent increase in risk of post-partum haemorrhage - reduce with active 3rd stage syntocinon infusion

• Avoid post-partum intra-uterine contraception (PPIUC)