Risk factors for intraamniotic infection: a prospective epidemiologic study

Article Abstract:

Infections found inside the amniotic fluid surrounding the fetus, intraamniotic infection, and chorioamnionitis, an inflammation of the fetal membranes, occur in less than 1.3 percent of women having had premature rupture of the amniotic membranes. To determine the incidence of and the characteristics associated with amniotic infections, 408 patients were followed. An infection was diagnosed in 43 patients (10.5 percent). These patients were generally found to be younger, to have had fewer previous pregnancies and deliveries, to have had labor induced artificially, and to have had internal monitoring of the fetus. The infected patients as a whole also had longer hospital stays, longer labors, more internal examinations, ruptured amniotic membranes, and more cesarean sections. An increase in the number of internal vaginal examinations, use of internal monitoring devices, longer periods with ruptured membranes and the longer periods of labor were the most closely associated with infection in the amniotic fluid. A study of the role these factors play in causing infections inside the uterus is suggested to effectively lower their incidence.

Research, Risk factors, Medical examination, Pregnancy, Complications of, Pregnancy complications, Amniotic fluid

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Oral contraception and the recognition of endometritis

Article Abstract:

Oral contraceptive use may interfere with recognition of endometritis. Endometritis is an inflammation of the uterus, and is one aspect of pelvic inflammatory disease. Researchers compared rates of oral contraceptive use among women with unrecognized endometritis to rates of those with recognized endometritis. Four times as many women with unrecognized endometritis used oral contraceptives as did women with recognized endometritis. Chlamydia of the cervix, a sexually transmitted disease, is found more frequently in women using oral contraceptives. The infection may enter the uterus but go unrecognized because oral contraceptive use may mask uterine inflammation.

Health aspects, Diagnosis, Oral contraceptives, Endometritis

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Characterization and control of intramniotic infection in an urban teaching hospital

Article Abstract:

Increased efforts to control intraamniotic infections do not seem to be effective. Researchers compared the characteristics of women who developed intraamniotic infections before (group 1) and after (group 2) strict infection control measures were implemented. A similar percentage of group 1 (8.8%) and group 2 (9.8%) developed a fever during delivery. Mothers who delivered more than 12 hours after the membranes ruptured, had multiple vaginal exams, and had internal monitoring were more likely to develop an intraamniotic infection. A similar percentage of mothers with full-term and pre-term infants developed infections.

Care and treatment, Chorioamnionitis, Uterus, Pregnant, Pregnant uterus

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