Chorioamnionitis is an infection of the membranes surrounding
the amniotic fluid in which the fetus is located. The outer one of these
membranes is the chorion membrane, the inner one is the amnion membrane, and
the amnion membrane is in contact with the amniotic fluid. The infectious
bacteria often come from the cervicovaginal canal through the assen.
Risk
factors are similar to postpartum endometritis:
- Young age
- Low parity, first pregnancy
- Prolonged action
- Elongated EMR
- Multiple vaginal examinations
- Internal fetal monitor
- Bacterial vaginosis, infections such as gonorrhea
- Low socioeconomic level
- Meconium painted amniotic fluid
It is usually a polymicrobial infection. Agents such as
anaerobic bacteria, bacteriodes, Group B streptococci, E. Coli, enterococci,
fusobacterium, mycopasma, and uroplasma are common. Therefore, broad spectrum
antibiotics are used in treatment.
Gram negative aerobics: E.coli, Klebsiella, Proteus
Gram negative anaerobic: Bacteriodes, Prevotella
Gram positive anaerobic: Peptococcus, peptostreptococcus
Results:
Fever, uterine tenderness, maternal and fetal tachycardia,
maternal leukocytosis, foul-smelling vaginal discharge are the most common
findings. Histopathological examination of the chorioamniotic membrane leads to
a definitive diagnosis.
In chorioamnionitis cases, there is a risk of developing
postpartum atony and endometritis.
-OVERDUE PREGNANCY
-INTRAUTERINE GROWTH RETARDATION IN PREGNANCY
-BLOOD INCOMPATIBILITY
-CHORIOAMNIONITIS
-STILLBIRTH
