- Infection of the amniotic membranes; also known as amnionitis or
intrapartum fever. The most commonly implicated pathogens are gram-
rods and anaerobes (Bacteroides, Mycoplasma, Ureaplasma, Gardnerella,
GBS). Risk factors include nulliparity, preterm or prolonged ROM,
genital tract infections, internal monitoring, digital cervical
exams in women with ruptured membranes, and meconium-stained
- Presents with maternal fever > 38 C (100.4 F), uterine
tenderness, and foul-smelling amniotic fluid.
- Exam reveals maternal and/or fetal tachycardia.
- CBC; culture of amniotic fluid.
- Treat with broad-spectrum antibiotics (ampicillin and gentamicin)
continuous fetal monitoring.
- Fetal sepsis, fetal neurologic damage, ↑ C-section rate, wound