Intrauterine Infection - Gynecology

What is Intrauterine Infection?

Intrauterine infection, also known as chorioamnionitis, is an infection that occurs within the uterus. It can involve the membranes surrounding the fetus, the amniotic fluid, the placenta, or the fetus itself. This condition is particularly concerning during pregnancy as it can lead to serious complications for both the mother and the baby.

Causes of Intrauterine Infection

Intrauterine infections are commonly caused by bacteria that ascend from the vagina into the uterus. Common bacterial culprits include Escherichia coli, Group B Streptococcus, Mycoplasma, and Ureaplasma. These infections can be facilitated by prolonged labor, premature rupture of membranes, and multiple vaginal examinations during labor.

Symptoms of Intrauterine Infection

Symptoms of intrauterine infection in the mother may include fever, abdominal pain, foul-smelling vaginal discharge, and an elevated heart rate. For the fetus, it may result in tachycardia, decreased fetal movement, or distress that can be detected via fetal monitoring.

Diagnosis of Intrauterine Infection

Diagnosing intrauterine infection involves a combination of clinical examination and laboratory tests. Blood tests may show elevated white blood cell counts, and amniotic fluid analysis may reveal bacteria or elevated inflammatory markers. Ultrasound may also be used to assess the condition of the fetus and the amniotic fluid.

Complications of Intrauterine Infection

If left untreated, intrauterine infection can lead to serious complications such as preterm labor, sepsis, and in severe cases, maternal and fetal death. For the baby, it can result in respiratory distress, cerebral palsy, or other long-term health issues.

Treatment of Intrauterine Infection

Treatment typically involves the administration of broad-spectrum antibiotics to combat the infection. In severe cases, delivery of the baby may be expedited to reduce the risk of further complications. Supportive care, including intravenous fluids and antipyretics, may also be necessary.

Prevention of Intrauterine Infection

Preventive measures include maintaining good prenatal care, minimizing the number of vaginal examinations during labor, and managing any infections promptly. In cases of prolonged rupture of membranes, prophylactic antibiotics may be administered to reduce the risk of infection.

Conclusion

Intrauterine infection is a serious condition that requires prompt diagnosis and treatment to prevent complications for both the mother and the baby. Awareness and preventive measures play a crucial role in managing this condition effectively. For more detailed information, consult with a gynecologist.



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