WellSpan Home

Health Library

Chorioamnionitis

What is chorioamnionitis?

Chorioamnionitis [chor-y-oh-am-nee-oh-NY-tis] is an infection of the placenta and the amniotic fluid. Only a few women get it, but, it is a common cause of preterm labor and delivery.

What causes chorioamnionitis?

Chorioamnionitis is most often caused by bacteria commonly found in the vagina. It happens more often when the amniotic sac is broken for a long time before birth. This lets bacteria in the vagina move up into the uterus.

Who is at risk for chorioamnionitis?

You are more likely to have this infection if:

  • Your bag of waters (amniotic sac) breaks long before you actually deliver
  • You have a long labor
  • You have frequent vaginal exams during labor
  • This is your first pregnancy
  • You have a sexually transmitted infection or other vaginal infection
  • You use alcohol or tobacco
  • You have internal fetal monitoring
  • You get epidural anesthesia during labor
  • You have group B strep

What are the symptoms of chorioamnionitis?

The symptoms of may be slightly different for each person. They may include:

  • Fever
  • Fast heart rate in mother and baby
  • Tender or painful uterus
  • A foul smell from the amniotic fluid

The symptoms of sometimes can look like other health problems. Always see your healthcare provider for a diagnosis.

How is chorioamnionitis diagnosed?

Your provider will ask about your past health. He or she will give you a physical exam. He or she may be able to diagnose chorioamnionitis just by your symptoms. You may also need a lab test to check for infection.

Your healthcare provider may suggest a test called amniocentesis, although this test is not routinely done for chorioamnionitis. During this test, your healthcare provider uses a needle to take a small amount of amniotic fluid for testing.

How is chorioamnionitis treated?

Your healthcare provider will figure out the best treatment for you and your baby based on:

  • Your overall health and health history
  • How far along in your pregnancy you are
  • How sick you are
  • How well you and your baby can handle specific medicines, procedures, or therapies
  • How long the condition is expected to last
  • Your opinion or preference

Antibiotics are used to treat chorioamnionitis as soon as the infection is found. Your healthcare provider may encourage you to deliver your baby early. This can prevent complications for you and your baby. You may need to keep taking antibiotics after your baby is born.

What are the complications of chorioamnionitis?

Chorioamnionitis can cause a dangerous blood infection in the mother called bacteremia. This can cause the baby to be born early. It can also cause a serious infection in the newborn, such as pneumonia, meningitis, brain damage, or death.

Can chorioamnionitis be prevented?

If your bag of waters breaks early (premature rupture of membranes), antibiotics lowers the chance of chorioamnionitis. It is also helps limit the number of vaginal exams before and during labor.

When should I call my healthcare provider?

If your membranes rupture, tell your healthcare provider right away. Other symptoms that call for urgent attention include:

  • Fever
  • Fast heart rate
  • Tender or painful uterus
  • Foul smelling amniotic fluid

Key points about chorioamnionitis

Chorioamnionitis is an infection of the placenta and the amniotic fluid. 
  • It happens more often when the amniotic sac is broken for a long time before birth.
  • The major symptom is fever. Other symptoms include a fast heart rate, tender or painful uterus, and a foul smell from the amniotic fluid.
  • Chorioamnionitis can cause complications for the mother and the baby.
  •  You may be given antibiotics if you have premature rupture of the membranes. It can reduce the risk for chorioamnionitis.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

  • Know the reason for your visit and what you want to happen.
  • Before your visit, write down questions you want answered.
  • Bring someone with you to help you ask questions and remember what your provider tells you.
  • At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
  • Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
  • Ask if your condition can be treated in other ways.
  • Know why a test or procedure is recommended and what the results could mean.
  • Know what to expect if you do not take the medicine or have the test or procedure.
  • If you have a follow-up appointment, write down the date, time, and purpose for that visit.
  • Know how you can contact your provider if you have questions.
Chorioamnionitis - WellSpan Health

Online Medical Reviewer: Goode, Paula, RN, BSN, MSN
Online Medical Reviewer: Holloway, Beth, RN, M.Ed
Last Review Date: 2015-06-15T00:00:00
Last Modified Date: 2016-07-28T00:00:00
Published Date: 2016-07-28T00:00:00
Last Review Date: 2007-03-30T00:00:00
© 2016 WellSpan Health. All Rights Reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Are you sure you would like to cancel?

All information will be lost.

Yes No ×

About the provider search

This search will provide you with WellSpan Medical Group and Northern Lancaster County (Ephrata) Medical Group primary care physicians and specialists. If we don’t have a WellSpan Medical Group physician to meet your criteria, the search will expand to include community physicians who partner with WellSpan Medical Group physicians through the WellSpan Provider Network or provide care to patients on the Medical Staffs of WellSpan’s Hospitals.

×

Schedule Your Next Appointment Online with MyWellSpan

Use your MyWellSpan patient portal any time to view available appointments, and pick the date and time that best suits your schedule.

Go to MyWellSpan

New to this practice?

If you don't have a WellSpan primary care provider and would like to schedule a new patient appointment with a provider who is accepting patients, just log into your MyWellSpan account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to see the offices that are accepting new patients in relation to your zip code. If you are not enrolled in MyWellSpan, go to https://my.wellspan.org, call 1-866-638-1842 or speak with a member of the staff at a participating facility to sign up. New patient scheduling not available at all practices/programs.

Already a patient at this practice?

If you already have a relationship with a WellSpan practice, simply log into your account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to schedule an appointment with any provider or practice that already counts you as a patient. Online scheduling varies by practice/program.

×