Chorioamnionitis natural history, complications and prognosis: Difference between revisions

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==Complications==
==Complications==
[[Fetal]] complications that can develop as a result of chorioamnionitis are:<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><ref name="pmid30335284">{{cite journal |vauthors=Fowler JR, Simon LV |title= |journal= |volume= |issue= |pages= |date= |pmid=30335284 |doi= |url=}}</ref>
*[[Preterm birth]]
*[[Retinopathy of prematurity]]
*[[Neonatal sepsis]]
*[[Neonatal death]]
*[[Neurologic]] complications
**[[Intraventricular hemorrhage]] (IVH)
**[[Periventricular leukomalacia]] (PVL)
**[[Cerebral palsy]]
*[[Respiratory]] complications
**[[Respiratory distress syndrome]] (RDS)
**[[Bronchopulmonary dysplasia]] (BPD)
Maternal complications that can develop as a result of chorioamnionitis are:<ref name="pmid30335284">{{cite journal |vauthors=Fowler JR, Simon LV |title= |journal= |volume= |issue= |pages= |date= |pmid=30335284 |doi= |url=}}</ref>
*Maternal [[sepsis]]
*[[Infections]]
**Severe pelvic infections
**Subcutaneous wound infections
*[[childbirth|Labor]]-related complications
**Preterm [[childbirth|labor]]
**Operative [[childbirth|labor]]
**[[Postpartum hemorrhage]]


==Prognosis==
==Prognosis==

Revision as of 19:09, 3 June 2021

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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

Natural History

The symptoms of chorioamnionitis usually develop during the pregnancy, and start with symptoms such as maternal fever, uterine tenderness, purulent/foul-smelling amniotic fluid, maternal/fetal tachycardia.[1]

  • The most important clinical finding among patients with chorioamnionitis is fever, and temperature > 100.4 F should be defined as abnormal during pregnancy.
  • Although uterine tenderness is an important clinical finding, it might be challenging to differentiate uterine tenderness from the pain of the labor or conditions such as placental abruption. Also, the patient might not be able to feel the pain due to the effects of analgesics and anesthetic procedures.
  • The presence of purulent/foul-smelling amniotic fluid depends on the responsible microorganism and the severity of the chorioamnionitis.
  • Maternal tachycardia (>100 per minute) and fetal tachycardia (>160 per minute) are important and common clinical findings of chorioamnionitis.

Complications

Fetal complications that can develop as a result of chorioamnionitis are:[2][3]

Maternal complications that can develop as a result of chorioamnionitis are:[3]

Prognosis

References

  1. ↑ Tita AT, Andrews WW (June 2010). "Diagnosis and management of clinical chorioamnionitis". Clin Perinatol. 37 (2): 339–54. doi:10.1016/j.clp.2010.02.003. PMC 3008318. PMID 20569811.
  2. ↑ 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.
  3. ↑ 3.0 3.1 Fowler JR, Simon LV. PMID 30335284. Missing or empty |title= (help)

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