Chorioamnionitis

Question 1

What is chorioamnionitis

Answer 1

Ascending infection of polymicrobial bacteria that commonly affects full term pregnancies during labor

Question 2

Maternal complication of chorio

Answer 2

Dysfunctional labor
postpartum uterine atony
endometritis
peritonitis
sepsis
ARDS
death

Question 3

Neonatal complications

Answer 3

Pneumonia, meningitis, sepsis, death
BPD or cerebral palsy

Question 4

Risk factors for chorio

Answer 4

scalp probe, numerous maternal exams, meconium stained fluid, Group B streptococcus, STI
Prolonged rupture of membranes >18 hours
prolonged labor

Question 5

Chorio criteria

Answer 5

One time temp >39C
for 2 temps 38-38.9C
fetal tachycardia >160bpm
maternal leukocytosis>15k
Presence of purulent fluid

Question 6

Objective diagnosis

Answer 6

amniocentesis and analysis of amniotic fluid
or placental pathology-these are only beneficial in research setting

Question 7

Triple I

Answer 7

Intraamniotic
Infection
Inflammation

Question 8

Treatment for chorio

Answer 8

Amp and Gent
Acetaminophen
Treat baby with amp and gent, send culture if needed

Question 9

Can baby have vaginal delivery?

Answer 9

yes as long as infant and mom are stable

Question 10

Postpartum endometritis

Answer 10

infection persists after childbirth and affects endometrium