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Chorioamnionitis: implications for the neonate
#MMPMID25678002
Ericson JE
; Laughon MM
Clin Perinatol
2015[Mar]; 42
(1
): 155-65, ix
PMID25678002
show ga
Chorioamnionitis (CA) is characterized by inflammation of the fetal membranes.
The incidence increases with decreasing gestational age at birth. When suspected
on clinical criteria, pathologic assessment of the placenta should be performed.
Although the mechanisms are not entirely clear, CA predisposes to premature
birth, neonatal sepsis, and intraventricular hemorrhage. Its role in respiratory
distress syndrome, bronchopulmonary dysplasia, and neurodevelopmental impairment
is mixed. Prevention and treatment are ill-defined; antibiotics for preterm
premature rupture of membranes reduce the incidence and increase the length of
time to delivery. Antibiotics are recommended for infants exposed to CA while
laboratory studies are being performed.