chorioamnionitis...(spelling?) - page 2
Ok, I may have spelled it wrong. We call it chorio on the unit. I am trying to get an understanding of it and its not covered well in my notes and at work we are always so busy there isn't much time.... Read More
Aug 30, '06Quote from epiphanyI think that is the reason why they didn't call it chorio at first. But it ended up being chorio after all. baby will stay for another 7 days for abx, mom goes home tomorrow.I wonder if you are referring to an elevated temp as Chorio? That's what we call it when the maternal temp is over 100.4, and we start the antibiotics. I believe that's not really chorio, which will only be determined with labs and placenta specimen.
Maternal temp goes up a lot more frequently, and when we say "chorio", we only mean that we have sign of possible chorio. In that case we also call peds and keep the baby under close observation.
Someone correct me if I'm wrong.
Aug 31, '06Quote from SmilingBluEyesYeah, I know! Actually my "baby" is doing great--he just turned 3--but I was thinking if the risk of chorio is 1%, my risk for Ds was somewhere around 1 in 800 I think...who knows about IC, then you multiply those together right? (Its been a long time since I took statistics!) so if I hit those odds, the lottery can't be too much harder!With luck like that, you might want to hold onto your money. How is your baby today?
Sep 1, '06Quote from SmilingBluEyesWhen I first started reading this thread, I thought the same thing about that I see it more often than that. However, in further processing, I would think it may be 1% of our patient population; however, we are a high risk unit, deliver lots of babies and have a whole lot of PPROM patients. Maybe that's why I (and maybe the other poster, too) thought it was more common.Chorio as common as dust bunnies????
WOW I would love to know why. I see it so rarely. True chorio is not all THAT common. The 1% stat sounds about right.
Also, if the PPROMer has an elevated temp (>101F) and tender to touch abdomen, the docs are going to call her "suspected chorio" and start the regimen. If things do not improve drastically in a predetermined amount of time, they are going to call her chorio and deliver the baby. Of course, all our placentas on these patients go to pathology and I haven't heard the actual statistics from that. (But they haven't stopped handling them this way, so it can't be too off.)
Just my 2 cents.
Sep 5, '06I haven't followed up on placental pathology reports, so I have no idea of the true incidence where I work; however, it's more than just a lot of elevated temps and tachy babies. We see a fair number of foul-smelling babies.
As for why, I suppose it's a combination of being high risk unit where we have a lot of PPROMers, poor hygiene, women who don't come in for several days after their water broke, and too many vaginal exams.