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Chorioamnionitis
Medical expert of the article
Last reviewed: 14.03.2024
Chorioamnionitis is an infection of the chorion and amnion, usually occurring at the time of delivery. Chorioamnionitis can be the result of an ascending infection through the genital tract. Risk factors include premature rupture of membranes and prolonged delivery. The effects of chorioamnionitis include premature rupture of the membranes and premature birth, an increased risk of pneumonia, bacteremia, meningitis and death in the newborn.
[1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12]
Diagnostics Chorioamnionitis
Diagnosis of chorioamnionitis
The diagnosis is expected in the presence of fever, developed in late pregnancy. It is necessary to monitor the heart rate of the fetus. After cessation of fever, the heart rate, which was increased, at high temperature and the absence of chorioamnionitis returns to its original level. Fetal tachycardia, proportional to fever or with no fever, suggests chorioamnionitis.
Treatment Chorioamnionitis
Treatment of chorioamnionitis
Treatment consists in the appointment of broad-spectrum antibiotics (for example, ampicillin in combination with gentamicin) and delivery. The risk of chorioamnionitis decreases with the abolition or minimization of finger examinations of the pelvic organs in patients with premature rupture of the membranes.