Chorioamnionitis history and symptoms: Difference between revisions
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{{Chorioamnionitis}} | {{Chorioamnionitis}} | ||
* | ==Overview== | ||
* | |||
* | ==History== | ||
*Maternal tachycardia>100 | |||
==Symptoms== | |||
The hallmark of chorioamnionitis is maternal [[fever]]. The presence of [[uterine]] tenderness, purulent/foul-smelling [[amniotic fluid]], and maternal/fetal [[tachycardia]] is suggestive of chorioamnionitis.<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 > 100.4 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]]. | |||
*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. | |||
==References== | ==References== | ||
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Overview
History
Symptoms
The hallmark of chorioamnionitis is maternal fever. The presence of uterine tenderness, purulent/foul-smelling amniotic fluid, and maternal/fetal tachycardia is suggestive of chorioamnionitis.[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.
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.