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.
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.
Depends. Chorioamnionitis if detected and treated with antibiotics may start to improve after a day or two.
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.
Abtx & delivery. The mainstay of care is antibiotics and delivery. Early treatment will reduce the risk of advancement of the infection to baby and mom. Cesarean delivery will not improve the care, and the route of delivery should be determined by other obstetrical factors.
Membrane rupture. Usually membrane rupture can cause infection from the vagina to enter the amniotic sac. Vaginal infections, such as gonorrhea/chlamydia, bacterial vaginosis and trichomonas may contributor to amniotic sac (membrane) rupture and resultant infection. Often times membrane rupture is without obvious cause (idiopathic).
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.
Pain, fever. Abdominal pain, decreased fetal activity and fever usually are the main manifestations of the intraamniotic infections.
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.
Chorioamnionitis. When the fluid gets infected always the treatment is delivery. No matter if the baby is 21 wks or 34. If there are no signs of fetal infection or maternal can delay delivery untill 34 wks for fetal benefits.
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.
Infection in fluid. It is an infection in the fluid that surrounds the baby before birth. Most commonly it can cause pneumonia at the time of birth that requires the baby to be treated with IV antibiotics.
Chorioamnionitis. Baby in the womb is floating in the fluid called amniotic fluid and fluid is surrounded by membranes called amnion and chorion. Amniotic infection means that there is infection in these membranes and fluid surrounding your baby. Like any infection it may cause symptoms for mother and potentially may cause infection for your baby. Usually mother needs to be treated and baby may need to be delivered.
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.
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?!
You can try. But you can never force a doctor to do something that for good medical reasons that should be explainable to you, they do not feel is not best for you. They should always explain to you the reasoning and together you should come up for a plan that is a good solid medical plan.
Depends. Cerclage is a procedure that helps the incompetent cervix to sustain the stress (pressure) caused by the gravid uterus. If your cervix measurements are normal (length, consistency) and no prior hx of cervical incompetence, there may be no need for cerclage. This is to be decided by your OB provider. Amniotic infection might have resulted from premature membrane rupture and this is a separate issue.
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!
Agree with "don't" The problem with insisting is, sometimes, that some doctors might give you what you insist upon even if it's not appropriate. We don't like to think about things like, that but it happens. It's always better to express your concerns, ask questions, then arrive at a course that both you and your doctor agree upon. Remember, you can always get another opinion if you disagree.