Chorioamnionitis natural history, complications and prognosis: Difference between revisions
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==Natural History== | ==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]].<ref name="pmid20569811">{{cite journal |vauthors=Tita AT, Andrews WW |title=Diagnosis and management of clinical chorioamnionitis |journal=Clin Perinatol |volume=37 |issue=2 |pages=339–54 |date=June 2010 |pmid=20569811 |pmc=3008318 |doi=10.1016/j.clp.2010.02.003 |url=}}</ref> | 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]].<ref name="pmid20569811">{{cite journal |vauthors=Tita AT, Andrews WW |title=Diagnosis and management of clinical chorioamnionitis |journal=Clin Perinatol |volume=37 |issue=2 |pages=339–54 |date=June 2010 |pmid=20569811 |pmc=3008318 |doi=10.1016/j.clp.2010.02.003 |url=}}</ref> | ||
*The most important clinical finding among patients with chorioamnionitis is [[fever]], and temperature 100. | *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 [[childbirth|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 [[anesthesia|anesthetic procedures]]. | *Although [[uterine]] tenderness is an important clinical finding, it might be challenging to differentiate [[uterine]] tenderness from the pain of the [[childbirth|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 [[anesthesia|anesthetic procedures]]. | ||
*The presence of purulent/foul-smelling [[amniotic fluid]] depends on the responsible microorganism and the severity of the chorioamnionitis. | *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. | *Maternal [[tachycardia]] (>100 per minute) and fetal [[tachycardia]] (>160 per minute) are important and common clinical findings of chorioamnionitis. | ||
==Complications== | |||
==Prognosis== | |||
==References== | |||
{{reflist|2}} | {{reflist|2}} | ||
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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
Prognosis
References
- ↑ 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.