I had a patient recently that spiked a temperature during pushing and the baby was delivered in....not so good shape. The delivering doctor marked on her paperwork that the patient had developed chorio during labor, and I, honestly, didn't see it coming. I've seen patients that are ruptured for 12+ hours that develop a fever and fetal tachycardia, but that was not what my patient presented with. I was wondering if someone could help me identify if I missed something. Here's the scenario:Patient was sent over from the doctors office due to vaginal bleeding and non reassuring FHTs. Upon initial exam, she was 4cm dialated with a bulging bag, and scant bleeding (there was just what looked like normal bloody show on my exam glove). She was admitted. The patient was GBS positive and Rh negative. Here initial hemegram showed an elevated WBC count of 25. Within half an hour, I had a 3 minute deceleration that required position change and O2 for resolution. IV access was obtained and bolus started. The patient was now 6cm/80%/-1 station. FHTs following were reassuring. GBS protocol was initiated and the patient received 2 doses of antibiotics prior to delivery. Follwoing the second dose, the physician performed AROM and SVE was 7-8cm/100%/0 station. Temperature was 97.7 oral (pt had not been eating or drinking). The patient also had a small amount of bleeding (more than bloody show) and a small clot was expelled with SVE. We started having variable decelerations following AROM and the patient was complaining of feeling more pressure. SVE revealed she was 9cm/100%/+2 station. An hour after AROM, the patient was complete and feeling pushy. We set her up to push and she pushed for an hour and a half. We were having late decelerations with pushing. A little before 2 hours from the last temperature (which was when she was ruptured), the physician said she was feeling a little warm and wanted a temp taken. She was eating ice throughout the pushing, so we got an axillary temp (which was under a warm blanket) which was 102.8. FHTs were 145-155bpm with lates and variable decelerations with pushing. She delivered the baby 30 minutes later in OP presentation. The last 30 minutes we had minimal to absent variability. When the baby was born, the infant wasn't breathing, and wasn't moving, with a HR above 100 bpm. The baby was flaccid and had a temperature of 103 rectal. After the initial 5 minutes of stimulation, we had poor tone, HR above 100 bpm, and severe grunting, flaring, and retracting with 100% blow by O2. The baby had 2ccs of very thick, yellow, mucous deleed. The baby ended up in SCN with a small pneumo, IV access was obtained and the infant was started on antibiotics prophylactically. I was caring for the infant following delivery, so I'm not sure what transpired with the maternal temp. I did see orders for antiobiotic therapy PO for the mom. The infant's temp dropped to 99.7 Axillary after 20 minutes while remaining under a radiant warmer.Does anyone have any thoughts or see anything that I might have missed in my care of the patient?? I'm looking to try and make this into a learning experience. I have 1.5 years experience in OB. Is there other presenting symptoms of Chorio prior to delivery that I missed, other than maternal temp and fetal tachycardia?Thanks for any responses in advance!!