Chorioamnionitis
Pronunciation: KOR-ee-oh-am-nee-oh-NY-tis
Infection of the amniotic fluid and membranes that affects anesthetic management and fetal well-being.
Full Definition
Chorioamnionitis is an infection involving the chorion, amnion, and amniotic fluid, typically caused by ascending bacterial infection. This condition significantly impacts obstetric anesthetic management as it increases maternal and fetal morbidity risks. Anesthetic considerations include managing maternal hyperthermia, potential hemodynamic instability, and increased risk of postpartum complications. The presence of chorioamnionitis may influence the choice between neuraxial and general anesthesia, particularly if bacteremia is suspected. Antibiotic prophylaxis timing and the urgency of delivery affect anesthetic planning and technique selection.
Usage
Usage note: Document impact on anesthetic technique selection and antibiotic timing in clinical notes.
In Context
- "Chorioamnionitis prompted emergency cesarean delivery under general anesthesia." — Operative anesthesia record
- "The presence of chorioamnionitis influenced the decision against neuraxial blockade." — Anesthetic decision-making note