Keywords
Diagnosis
Treatment
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To elucidate the clinical management of chorioamnionitis based on scientific evidence. Bibliographic review: Chorioamnionitis is an acute inflammation of the amniotic membranes and placental chorion that has implications for the mother-fetus binomial in the short and long term, thus demonstrating the need for an assertive diagnosis based on symptoms and analysis of amniotic fluid, through amniocentesis, thus enabling adequate management. After confirming the condition, it is essential to terminate pregnancy early, regardless of gestational age, with vaginal delivery being preferable to cesarean section. In addition to the use of antibiotic therapy during intrapartum, seeking to reduce infectious processes and the necessary support regarding prematurity of the newborn. Final considerations: It is considered that in order to have adequate management of chorioamnionitis based on scientific evidence, it is essential that the diagnosis has well-defined criteria and that it is carried out in a timely manner, so that the implications for the fetus are mitigated.
References
AFJEH AS, et al. Chorioamnionitis and Neonates; Which Strategy? Arch Iran Med, 2020; 23(7):480-487.
AGUDELO C, et al. Management of clinicalchorioamnionitis: an evidence-based approach. Am J Obstet Gynecol. 2020; 223(6): 848-869.
ALJERIAN K. Chorioamnionitis: Establishing a correlation between clinical and histological diagnosis. Indian J Pathol Microbiol, 2020; 63(1): 44-48.
ALROWAILY N, et al. Determining the optimal antibiotic regimen for chorioamnionitis: A systematic review and meta-analysis. Acta Obstet Gynecol Scand, 2021; 100(5): 818-831.
BEEN JV, et al. Antenatal steroids and neonatal outcome after chorioamnionitis: a meta-analysis. Na International Journal of Obstetrics and Gyneacology, 2011; 118(2):113-22.
BURKE C, CHIN EG. Chorioamnionitis at Term: Definition, Diagnosis, and Implications for Practice. The Journal of Perinatal & Neonatal Nursing, 2016; 30 (2): 106-114.
CHARPENTIER C, et al. A Survey on Variation in Diagnosis and Treatment of Chorioamnionitis in Tertiary Centres in Canada. J Obstet Gynaecol Can, 2022; 44(1): 28-33.
CZIKK, MJ et al. Corioamnionite: da patogênese ao tratamento. Microbiologia Clínica e Infecção, 2011; 17(9): 1304 – 1311
HIGGINS RD, et al. Evaluation and Management of Women and Newborns With a Maternal Diagnosis of Chorioamnionitis: Summary of a Workshop. Obstet Gynecol, 2016; 127(3): 426-436.
JAIN VG, et al. Chorioamnionitis and neonatal outcomes. Pediatr Res. 2022; 91(2):289-296.
MARTINELLI, P, et al. Chorioamnionitis and prematurity: a critical review. The Journal of Maternal-Fetal & Neonatal Medicine, 2012; 127 (3): 21-23.
NI M, et al. Association of chorioamnionitis with infertility treatment and subsequent neonatal outcomes in the US: a population-based cohort study. BMC Pregnancy Childbirth, 2023; 23(1):369.
OH KJ, et al. Evidence that antibiotic administration is effective in the treatment of a subset of patients with intra-amniotic infection/inflammation presenting with cervical insufficiency. American Journal of Obstetrics Gynecology, 2019; 221(2): 140.e1-140.e18.
TITA ATN, ANDREWS WW. Diagnosis and management of clinical chorioamnionitis. Clinics in Perinatology, 2010; 37(2): 339-354.
PENG CC, et al. Intrauterine inflammation, infection, or both (Triple I): A new concept for chorioamnionitis. Pediatr Neonatol. 2018;59(3):231-237.