Chorioamnionitis Quiz

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Reviewed By:

Ravi P. Chokshi, MD

Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)

Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.

Seiji Kanazawa, MD, PHD

Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))

Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.

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Content updated on Mar 31, 2024

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How Ubie Can Help You

With an easy 3-min questionnaire , Ubie's AI-powered system will generate a free report on possible causes.

Questions are customized to your situation and symptoms, including the following personal information:

  • Biological Sex - helps us provide relevant suggestions for male vs. female conditions.

  • Age - adjusts our guidance based on any age-related health factors.

  • History - considers past illnesses, surgeries, family history, and lifestyle choices.

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • I think my water has broken

  • My baby isn't moving as much

  • Rupture of membranes

  • Have a fever

  • I feel like my baby has stopped moving

  • Fever then no fever then fever again

  • Periodic fever (>100.4°F / 38°C)

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What is Chorioamnionitis?

Chorioamnionitis is a pregnancy condition where the tissues and fluid around the fetus (unborn baby) become infected. This typically occurs in labor after the water bag (amniotic sac) is broken, but can occur before this as well. This is a serious condition that requires delivery of the fetus to protect both the mother and the baby.

Typical Symptoms of Chorioamnionitis

  • Currently pregnant

  • Feel like water has broken/amniotic fluid is coming out

  • Feel my child is moving less. (Decreased fetal movements)

  • Stomach feels constantly hard and stiff like a board

  • Fever

  • Fast heartbeat (more than 25 beats in 15 seconds)

  • Increased vaginal discharge that is smelly

  • Labor-like pain (repeated tummy/abdominal pain) in cycles of 10 minutes or less

Doctor's Diagnostic Questionson Chorioamnionitis

Your doctor may ask these questions to check for this disease:

  • Are you pregnant?

  • Do you feel like your water has broken?

  • Is your child moving less?

  • Is your stomach always hard and stiff like a board?

  • Do you have a fever?

Treatmentof Chorioamnionitis

Treatment is with antibiotics and prompt delivery of the fetus. The newborn will need evaluation by pediatricians and likely further antibiotics.

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References

  • Kim CJ, Romero R, Chaemsaithong P, Chaiyasit N, Yoon BH, Kim YM. Acute chorioamnionitis and funisitis: definition, pathologic features, and clinical significance. Am J Obstet Gynecol. 2015 Oct;213(4 Suppl):S29-52. doi: 10.1016/j.ajog.2015.08.040. PMID: 26428501; PMCID: PMC4774647.

    https://www.ajog.org/article/S0002-9378(15)00910-2/fulltext

  • Tita AT, Andrews WW. Diagnosis and management of clinical chorioamnionitis. Clin Perinatol. 2010 Jun;37(2):339-54. doi: 10.1016/j.clp.2010.02.003. PMID: 20569811; PMCID: PMC3008318.

    https://www.sciencedirect.com/science/article/abs/pii/S0095510810000217?via%3Dihub

  • Peng CC, Chang JH, Lin HY, Cheng PJ, Su BH. Intrauterine inflammation, infection, or both (Triple I): A new concept for chorioamnionitis. Pediatr Neonatol. 2018 Jun;59(3):231-237. doi: 10.1016/j.pedneo.2017.09.001. Epub 2017 Sep 19. PMID: 29066072.

    https://www.pediatr-neonatol.com/article/S1875-9572(17)30027-X/fulltext

  • Jain VG, Willis KA, Jobe A, Ambalavanan N. Chorioamnionitis and neonatal outcomes. Pediatr Res. 2022 Jan;91(2):289-296. doi: 10.1038/s41390-021-01633-0. Epub 2021 Jul 1. PMID: 34211129; PMCID: PMC8720117.

    https://www.nature.com/articles/s41390-021-01633-0

  • Beck C, Gallagher K, Taylor LA, Goldstein JA, Mithal LB, Gernand AD. Chorioamnionitis and Risk for Maternal and Neonatal Sepsis: A Systematic Review and Meta-analysis. Obstet Gynecol. 2021 Jun 1;137(6):1007-1022. doi: 10.1097/AOG.0000000000004377. PMID: 33957655; PMCID: PMC8905581.

    https://journals.lww.com/greenjournal/Abstract/2021/06000/Chorioamnionitis_and_Risk_for_Maternal_and.7.aspx

  • ACOG Committee Opinion

    https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/08/intrapartum-management-of-intraamniotic-infection

User Testimonials

Reviewed By:

Ravi P. Chokshi, MD

Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)

Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.

Seiji Kanazawa, MD, PHD

Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))

Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.

From our team of 50+ doctors

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