TERM MATERNAL AND NEONATAL COMPLICATIONS OF ACUTE CHORIOAMNIONITIS

  • 1 January 1985
    • journal article
    • research article
    • Vol. 66  (1) , 59-62
Abstract
Women (103) who developed acute chorioamnionitis at 37 wk gestation or beyond were studied retrospectively. Clinical findings included fever (99.2%), fetal (82%) and maternal (19.4%) tachycardia, uterine tenderness (16.5%) and foul-smelling amniotic fluid (8.7%). Three of the 46 women who underwent cesarean section subsequently required addition of a 2nd or 3rd antibiotic for serious pelvic infection, whereas 2 had a s.c. wound infection requiring open drainage. Importantly, between 0 and 10 h of the diagnosis of chorioamnionitis, a critical time interval where delivery impacted on neonatal infectious morbidity was not identified. Additionally, in the initial 24 h after rupture of the fetal membranes there was no association between fetal, neonatal, or maternal complications versus duration of membrane rupture. Immediate operative delivery of term gestations complicated by acute chorioamnionitis will not reduce neontal morbidity.

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