Deck 1: Chorioamnionitis and Neonatal Sepsis

Question 1

How do you diagnose chorioamnionitis?

Answer 1

Clinical:
1. maternal temp of 38ºC (100.4ºF)
2. maternal or fetal tachycardia
3. uterine tenderness1ST EDITION
4. foul-smelling amniotic fluid
5. maternal leukocytosis (> 15K)
Exclude other sources of infection.
Histology confirms the dx of clinical chorio in only 62% of cases.
Exclude other sources of infection.
Histology confirms the dx of clinical chorio in only 62% of cases.

Question 2

What are the mechanisms of chorioamnionitis?

Answer 2

1. Ascending bacteria from the lower genital tract into the uterus
2. Bloodborne (eg. listeria)
3. Through intact membranes (eg. ureaplasma)

Question 3

Predisposing factors PROM

Answer 3

factorsPROM
Prolonged labor
Multiple vaginal exams

Question 4

Incidence of

Question 5

Treatment of chorioamnionitis

Question 6

Complications of chorioamnionitis Maternal