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Doctor insights on: Amniotic Fluid Infection

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Dr. John Botti
56 doctors shared insights

Amniotic Fluid Infection (Overview)

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.


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What sort of problem is an amniotic fluid infection?

What sort of problem is an amniotic fluid infection?

Infection of fluid: An amniotic fluid infection is an infection of the fluid around the fetus within the uterus. It is thought that this may trigger premature birth at times.

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Dr. John Botti
56 doctors shared insights

Amniotic Fluid Infection (Overview)

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.


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What are the tests for amniotic fluid infection?

What are the tests for amniotic fluid infection?

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.

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What are the symptoms of amniotic fluid infection?

What are the symptoms of amniotic fluid infection?

Pain, fever.: Abdominal pain, decreased fetal activity and fever usually are the main manifestations of the intraamniotic infections.

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What is the definition or description of: Amniotic fluid infection?

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.

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How long does amniotic infection last?

How long does amniotic infection last?

Depends: Chorioamnionitis if detected and treated with antibiotics may start to improve after a day or two.

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What causes amniotic infection and how do I prevent it?

What causes amniotic infection and how do I prevent it?

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.

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My doctor talked over my head. We are confused. What is amniotic infection?

My doctor talked over my head. We are confused. What is amniotic infection?

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.

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What are the tests for amniotic infection?

What are the tests for amniotic infection?

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.

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Are there official recommendations for treating amniotic infection?

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.

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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?!

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!

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Can a yeast infection cause a pH strip to turn blue green when testing for amniotic fluid leaking?

Can a yeast infection cause a pH strip to turn blue green when testing for amniotic fluid leaking?

Low ph : Yeast has a very low ph. Bacterial vaginosis can cause a false positive amniotic fluid test because it has a high ph.

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What percent of babies are born with problems because of high amniotic fluid?

What percent of babies are born with problems because of high amniotic fluid?

See below:: 1 % of pregnant women have too much amniotic fluid. In some women, fluid builds up slowly or quickly. This can happen at 16 weeks of pregnancy, and it usually causes very early birth. What problems can polyhydramnios cause? Polyhydramnios may increase the risk of these problems during pregnancy: prematurity, abruption, prom, stillbirth, post part. Hemorrhage & fetal malposition.

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Could low amniotic fluid in utero cause problems for the baby after delivery?

Could low amniotic fluid in utero cause problems for the baby after delivery?

Depends on cause: Babies don't need kidneys much during pregnancy because the placenta does that job.They do make pee that ends up as amniotic fluid. The right amount of fluid creates extra volume in the womb that pushes back against the muscular womb & allows the lungs to develop.(important) Things that stop or limit fluid formation includes absent kidneys or blockage in the outflow. Such defects can be a problem

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35 wk usg femalefoetus shows over distended bladder with kidneys normal amniotic fluid normal ..is there any problem ,prior tiffa normal .

35 wk usg femalefoetus shows over distended bladder  with kidneys normal amniotic fluid normal ..is there any problem ,prior tiffa normal .

Baby full bladder: Most likely if the kidneys look normal and the amniotic fluid is normal, all is well. Usually we'd repeat the ultrasound again later to see if the baby emptied in the meantime or not. If there was a blockage of the urine outflow from the bladder, the amniotic fluid level would not be normal, it would be very low.

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Is thick amniotic fluid will harm the baby ? How to treat that problem ? Thanks

Is thick amniotic fluid will harm the baby ? How to treat that problem ? Thanks

Meconium? : I'm not sure if you are referring to thickened amniotic fluid that results from the baby having a bowel movement which is referred to as meconium? If so we only know about it at the time of delivery, and there is nothing to do except to make sure neonatology is present at the delivery to examine the baby ....

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What does an excess of amniotic fluid mean?

What does an excess of amniotic fluid mean?

Diabetes?: Most of the time we don't know what causes polyhydramnios. It is associated with maternal diabetes and can result from trouble with the fetal kidneys or swallowing ability. In and of itself, it isn't harmful, though it can result in cord prolapse if the water breaks through an open cervix. Ask your doctor.

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Is low levels of amniotic fluid a big concern?

Is low levels of amniotic fluid a big concern?

Yes: Low fluid is something of concern. There is risks of growth retardation, fetal compromise due to cord compression. It could do to fetal anomalies. There is a lot of causes of low fluid. It is very important that your dr gives close f/u.

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What is the name of the procedure that removes amniotic fluid?

What is the name of the procedure that removes amniotic fluid?

Amniosintesis: Amniosintesis refers to the removal of a sample of amniotic fluid for analysis.

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Is excess amniotic fluid a cause for concern?

Is excess amniotic fluid a cause for concern?

Yes: Excess amniotic fluid can be associated with diabetes, infection, and birth defects that prevent the fetus from swallowing. It can also be associated with an increased risk of stillbirth. Once the causes above have been eliminated, testing of the fetus' wellbeing should be done until delivery.

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Dr. Jan Lei Iwata
9 doctors shared insights

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