Intrapartum Management of Chorioamnionitis
Intraamniotic infection, or chorioamnionitis, is defined as infection and subsequent inflammation of the amniotic fluid, placenta, decidua, fetus, or fetal membranes (American College of Obstetricians and Gynecologists [ACOG], 2017). It is associated with neonatal and maternal morbidity; much of which can be prevented with prompt recognition and treatment during labor. Babies may suffer acute and long-term complications including sepsis, pneumonia, meningitis, bronchopulmonary dysplasia, cerebral palsy, and even death. Maternal morbidity from chorioamnionitis includes dysfunctional labor, postpartum hemorrhage, infection (endometritis, peritonitis, sepsis), and respiratory distress syndrome. The following is a summary of ACOG's recent committee opinion outlining recommendations for appropriate diagnosis, treatment, and care coordination for intrapartum intraamniotic infection.