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Amniotic Infection Multiple Digital Vaginal Examinations
Can I insist upon a preventative cerclage after having suffered a loss at 23 weeks due to amniotic infection that caused the sac to protrude?!
Don't insist!: There is still a lot to learn about the continuum of preterm birth, but cerclage should be reserved for two or more consecutive midtrimester deliveries, or a shortened cervix by ultrasound (<1.5 cm) between 16-24 weeks. Other therapies include 17-hydroxyprogesterone caproate injections, vaginal progesterone, and early pregnancy treatment of vaginal infection/inflammation. Confer with your ob! ...Read moreSee 2 more doctor answers
Physical exam involving examination of the outside of the female genitalia (vulva), the inside (vagina) , as well as an examination of the cervix, uterus, tubes, ovaries, and tissue around the uterus (parametria). A bimanual exam then involves 2 fingers in the vagina with the other hand on the abdomen. A rectovaginal exam is one finger inthe vagina, one finger in the rectum with ...Read more
You can't: Amniotic infection (chorio) can be caused by prolonged rupture of membranes, vaginal or cervical infections or some infections that affect the whole body and spread to the uterus through the blood. If you think your bag of waters is broken, go to the hospital. If you think you may have any infection, see your doctor. If antibiotics are prescribed, take them. ...Read moreSee 1 more doctor answer
Chorioamnionitis: Intra-amniotic infection (formerly called chorioamnionitis) is infection of the chorion, amnion, amniotic fluid, placenta, or a combination. Infection increases risk of obstetric complications and problems in the fetus and neonate. Symptoms include fever, uterine tenderness, foul-smelling vaginal discharge, and maternal and fetal tachycardia. ...Read more
Amniotic infection: An amniotic infection is an infection of the membranes which make up the bag of waters and surround the fetus. This kind of infection usually happens during labor. Another name for it is chorioamnionitis. An infection of the amniotic membranes can affect both the mother and the child. ...Read moreSee 2 more doctor answers
Amniocentesis: The diagnosis is suggested by severe abdominal pain, decreased fetal movement, and maternal fever. The definitive test is amniocentesis, which is to obtain a sample of fluid, usually under ultrasound guidance, and then sending the fluid for appropriate laboratory studies. This is a very serious condition that, if confirmed, almost always requires delivery of the baby. ...Read more
Cultures: Blood, amniotic fluid and cervical cultures are useful to determine intraamniotic infection, however clinical criteria are sufficient to clinch the diagnosis and prompt expert medical therapy is warranted to promptly evacuate the uterus. Low amniotic fluid glucose, positive gram stain, and increased white cell count in the amniotic fluid are all suggestive of intraamniotic infection. ...Read more
Usually delivery: An amniotic infection will most often result in spontaneous labor and delivery. When labor does not happen spontaneouly, the usual management is to induce labor or proceed with a cesarean delivery, if cesarean delivery is indicated. In either case (labor or cesarean), antibiotics would be initiated and very likely continued well after delivery for both the mom and the baby. ...Read moreSee 1 more doctor answer
Intra-amniotic infection (formerly called chorioamnionitis) is infection of the chorion, amnion, amniotic fluid, placenta, or a combination. Infection increases risk of obstetric complications and problems in the fetus and neonate. Symptoms include fever, uterine tenderness, foul-smelling vaginal discharge, and ...Read more
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more
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