Chorioamnionitis classification: Difference between revisions
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Chorioamnionitis may be classified according to the absence or presence of clinical signs and laboratory findings into two groups: clinical chorioamnionitis, and subclinical/histologic chorioamnionitis.<ref name="pmid29066072">{{cite journal |vauthors=Peng CC, Chang JH, Lin HY, Cheng PJ, Su BH |title=Intrauterine inflammation, infection, or both (Triple I): A new concept for chorioamnionitis |journal=Pediatr Neonatol |volume=59 |issue=3 |pages=231–237 |date=June 2018 |pmid=29066072 |doi=10.1016/j.pedneo.2017.09.001 |url=}}</ref><ref name="pmid25678002">{{cite journal |vauthors=Ericson JE, Laughon MM |title=Chorioamnionitis: implications for the neonate |journal=Clin Perinatol |volume=42 |issue=1 |pages=155–65, ix |date=March 2015 |pmid=25678002 |pmc=4331454 |doi=10.1016/j.clp.2014.10.011 |url=}}</ref> | Chorioamnionitis may be classified according to the absence or presence of clinical signs and laboratory findings into two groups: clinical chorioamnionitis, and subclinical/histologic chorioamnionitis.<ref name="pmid29066072">{{cite journal |vauthors=Peng CC, Chang JH, Lin HY, Cheng PJ, Su BH |title=Intrauterine inflammation, infection, or both (Triple I): A new concept for chorioamnionitis |journal=Pediatr Neonatol |volume=59 |issue=3 |pages=231–237 |date=June 2018 |pmid=29066072 |doi=10.1016/j.pedneo.2017.09.001 |url=}}</ref><ref name="pmid25678002">{{cite journal |vauthors=Ericson JE, Laughon MM |title=Chorioamnionitis: implications for the neonate |journal=Clin Perinatol |volume=42 |issue=1 |pages=155–65, ix |date=March 2015 |pmid=25678002 |pmc=4331454 |doi=10.1016/j.clp.2014.10.011 |url=}}</ref> | ||
*Subclinical/histologic chorioamnionitis indicates the [[inflammation]] of the [[chorion]], [[amnion]], and [[placenta]] in the absence of clinical signs. | *Subclinical/histologic chorioamnionitis indicates the [[inflammation]] of the [[chorion]], [[amnion]], and [[placenta]] in the absence of clinical signs. | ||
**Diagnosis of histologic chorioamnionitis is mainly based on the evaluation of pathology which might be confirmed by the presence of inflammatory cells within the fetal membranes. | **Diagnosis of histologic chorioamnionitis is mainly based on the evaluation of [[pathology]] which might be confirmed by the presence of [[inflammatory]] cells within the fetal membranes. | ||
*The presence of maternal [[fever]], [[leukocytosis]], maternal/fetal [[tachycardia]], uterine tenderness, foul-smelling amniotic fluid, and [[preterm rupture of membranes]] (PROM) indicates the clinical chorioamnionitis. | *The presence of maternal [[fever]], [[leukocytosis]], maternal/fetal [[tachycardia]], uterine tenderness, foul-smelling amniotic fluid, and [[preterm rupture of membranes]] (PROM) indicates the clinical chorioamnionitis. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Adnan Ezici, M.D[2]
Overview
Chorioamnionitis can be classified based on the presentation of the patient.
Classification
Chorioamnionitis may be classified according to the absence or presence of clinical signs and laboratory findings into two groups: clinical chorioamnionitis, and subclinical/histologic chorioamnionitis.[1][2]
- Subclinical/histologic chorioamnionitis indicates the inflammation of the chorion, amnion, and placenta in the absence of clinical signs.
- Diagnosis of histologic chorioamnionitis is mainly based on the evaluation of pathology which might be confirmed by the presence of inflammatory cells within the fetal membranes.
- The presence of maternal fever, leukocytosis, maternal/fetal tachycardia, uterine tenderness, foul-smelling amniotic fluid, and preterm rupture of membranes (PROM) indicates the clinical chorioamnionitis.
References
- ↑ Peng CC, Chang JH, Lin HY, Cheng PJ, Su BH (June 2018). "Intrauterine inflammation, infection, or both (Triple I): A new concept for chorioamnionitis". Pediatr Neonatol. 59 (3): 231–237. doi:10.1016/j.pedneo.2017.09.001. PMID 29066072.
- ↑ Ericson JE, Laughon MM (March 2015). "Chorioamnionitis: implications for the neonate". Clin Perinatol. 42 (1): 155–65, ix. doi:10.1016/j.clp.2014.10.011. PMC 4331454. PMID 25678002.