Chorioamnionitis diagnostic study of choice
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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
Diagnostic Study of Choice
Study of choice
There is no single diagnostic study of choice for the diagnosis of chorioamnionitis, but chorioamnionitis can be diagnosed based on the clinical presentation, laboratory findings, and/or histopathologic evaluation.
- The microbiological culture of the amniotic fluid is the gold standard test for the diagnosis of chorioamnionitis.
The comparison of various clinical features for the diagnosis of chorioamnionitis
Measurement of accuracy is based on both sensitivity and specificity.
| Findings | Accuracy |
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| Maternal fever | 30% |
| Maternal tachycardia | 51.1% |
| Fetal tachycardia | 57.8% |
| Maternal leukocytosis | 55.6% |
| Uterine tenderness | 48.9% |
| Malodorous amniotic fluid | 46.7% |