Doctor insights on:
Symptoms Of Chorioamnionitis
I am 14 weeks pregnant. Vaginal swab GBS++; cervix closed, fFN neg, but WBC 14, 200 (neutr 75%); no symptoms. Tx: oral Abs. How likely is chorioamnionitis?
Depends on the situa: Gbs in a common germ found in 1/3 female genital tract at any time.Gbs requires an open access point to get to baby through leaking membranes, if not, the germ cannot infect baby.If mom is gbs + during labor, she will get meds iv. They used to give oral meds years ago to try to get rid of it in gbs+moms but found the practice unreliable & ineffective.Contact your OB for any signs of labor. ...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
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
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
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
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
Lost baby at 16 wks due to chorioamnionitis. what are my chances of getting this again? Will I need to see specialists if I want another one?
See below: Chorioamnionitis(C) occurs in 0.5%-10% of all births. Women who have had C previously are at twice the normal risk of having it again in a subsequent pregnancy. The question of a possible genetic predisposition to C is being studied. No special treatment is given for pregnant women with a prior history of C, but the Dr. must be vigilant for any signs of infection . ...Read more
How quickly can a chorioamnionitis infection develop? Is it possible to develop it during labour or is it pre-existing?
Are complete blood cell counts useful in the evaluation of asymptomatic neonates exposed to suspected chorioamnionitis?
Is it posible to have chorioamnionitis at only 6 weeks? Or will my recurring BV turn into chorioamnionitis once again after cervical cerclage?
Very unlikely: Unless you are bleeding at this point in the pregnancy (or if you got pregnant with an intrauterine device in place), it is very unlikely that you would have chorioamnionitis. Not everyone with BV needs to be treated when they are pregnant, but given your history, you should be tested and treated if the test shows you have it. ...Read more
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