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I am 14 weeks pregnant. I lost my previous pregnancy at 25weeks due to gbs sepsis. Now, a vaginal swab shows gbs+. My cervix is closed, ffn neg, but WBC 14, 200 (neutr 75%). I have no symptoms and am taking oral antibiotics. How likely is chorioamnionitis
Data not clear: A study done awhile ago showed that previous history of chorioamnionitis was not a risk factor for subsequent pregnancies, however I have other experts say that it is a risk factor. The bottom line, all you can do is follow doctor's instructions and stay as healthy as possible. Sleep, rest, a good immune system. Exercise, eating a good diet. Just try to take care of yourself as best as possible. ...Read moreSee 2 more doctor answers
Endometritis is an infection in the uterus. It can be caused by many different types of bacteria. It usually presents with lower abdominal pain, abnormal foul smelling discharge, and fever. It can occur following pregnancy and is often seen in women who had a prolonged period of time of ruptured membranes prior to delivery. It is also seen in women remote from ...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
I had 2 miscarriages at 17 weeks due to acute chorioamnionitis. Can it occur again in next pregnancy & how can it be treated in next pregnancy.
Not likely : Chorioamnionitis is usually an acute event that does not recur. If this has happened to your twice then that is rare and should be evaluated. I would schedule a visit with a maternal fetal medicine specialist in your area and discuss testing that can be done before you get pregnant again. Also you can discuss how your next pregnancy could be managed differently. ...Read more
I delivered prematurely. Placenta pathology report showed acute chorioamnionitis, but there were no clinical consequences. Can you have chorioamnionitis with neither mom or baby suffering an infection?
Depends: "chorio" is an infection in the membranes surrounding the baby, usually near delivery. Mom will often run a fever. This does increase the risk of infection spreading to baby, but usually with good obstetric care including intravenous antibiotics for mom, the baby will be fine. Sometimes right after birth blodo tests will be done on baby to see if signs of infection. ...Read moreSee 2 more doctor answers
Not sure: Chorioamnionitis occurs in 1-4% of deliveries. I take care of infants born to mothers with this condition and give them antibiotics for at least 2 days until I know they are not infected. Most do just fine and are not infected. The pathologist may see inflammation of varying degrees under the microscope, but that has poor correlation with actual infection of the newborn. ...Read more
How quickly can a chorioamnionitis infection develop? Is it possible to develop it during labour or is it pre-existing?
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
Sepsis is a condition in which a person has a blood infection, usually caused by bacteria. The bacteria get into the bloodstream and are spread all over the body. The infection plus the immune system's response to it causes the symptoms of sepsis, which include fever, rapid heart rate, rapid breathing, high white ...Read more
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