obsolete Generalized infection during labor

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However, I can provide some general information on infections that occur during labor. Infections during labor are a serious concern and can have severe consequences for both the mother and the baby. Some common types of infections that can occur during labor include:

• Group B strep (GBS) infection: This is a bacterial infection that can be passed from the mother to the baby during delivery. Symptoms in newborns may include fever, lethargy, and difficulty breathing.
• Chorioamnionitis: This is an infection of the amniotic fluid and the membranes surrounding the fetus. Symptoms may include fever, abdominal pain, and uterine tenderness.

If you are looking for information on a specific type of infection that was once considered relevant during labor but is now obsolete, please provide more context or clarify your question so I can better assist you.

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Based on the provided context, it appears that you are looking for information on signs and symptoms of a generalized infection during labor.

Common Signs and Symptoms

• Fever over 38°C [10][11]
• Fetal tachycardia (fast heart rate) even before the onset of fever [10][11]
• Maternal fever [9]
• Tachycardia in the mother [11]
• Leukocytosis (an increase in white blood cells) [11]
• A uterus tender to palpation [11]

Other Complications

• Sepsis, a life-threatening reaction that can occur if the infection is left untreated [5][13]
• Prolonged labor [7][12][13]
• Wound infection [12][13]
• Need for hysterectomy (surgical removal of the uterus) [12][13]

Risk Factors

• Long delay between rupture of membranes and delivery (often more than 18 hours) [7]
• Prolonged labor [7]
• Multiple cervical examinations during labor [7]
• Chorioamnionitis, a bacterial infection that occurs before or during labor [3][4]

Diagnostic Tests for Chorioamnionitis

Chorioamnionitis, a serious infection that affects the amniotic fluid and placenta during pregnancy, can be diagnosed using various tests. Here are some of the diagnostic tests used to detect this condition:

• Physical Exam: A physical exam by a healthcare provider may be able to diagnose chorioamnionitis just by symptoms such as maternal fever, uterine tenderness, and fetal distress [1][6].
• Lab Tests: Lab tests may also be necessary to check for infection. These tests include:
  • Blood test to evaluate white blood cell count and check for infection [7]
  • Urine test to evaluate white blood cell count and check for infection [7]
  • Amniotic fluid sample (amniocentesis) to detect bacteria [3][4][9]
• Amniocentesis: This test involves taking a sample of amniotic fluid to check for the presence of bacteria. However, this test is not routinely done for chorioamnionitis [3][4].

It's worth noting that while these tests can help diagnose chorioamnionitis, they are not always 100% accurate. A healthcare provider may use a combination of physical exam and lab tests to make a diagnosis.

References:

[1] They'll give you a physical exam. They may be able to diagnose chorioamnionitis just by your symptoms. You may also need a lab test to check for infection. Your ...

[3] You may also need a lab test to check for infection. Your provider may suggest a test called amniocentesis This test isn't routinely done for chorioamnionitis.

[4] 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 ...

[6] They'll give you a physical exam. They may be able to diagnose chorioamnionitis just by your symptoms. You may also need a lab test to check for infection. Your ...

[7] Blood and/or urine test to evaluate white blood cell count and check for infection; Amniotic fluid sample to detect bacteria (amniocentesis); A culture from the ...

[9] The most useful diagnostic tests are physical examination, amniotic fluid glucose determination, and amniotic fluid Gram's stain. There is no clearly ...

Treatment of Chorioamnionitis During Labor

Chorioamnionitis, a generalized infection during labor, requires prompt and effective treatment to prevent complications for both the mother and the neonate.

• Antibiotic Therapy: The first-line antimicrobial regimen for treating chorioamnionitis is ampicillin combined with gentamicin [1]. This antibiotic combination should be initiated as soon as the infection is found.
• Delivery: In most cases, healthcare providers may encourage early delivery to prevent further complications and promote a safe environment for both mother and baby [2][5].
• Alternative Antibiotics: Research suggests that azithromycin can reduce maternal infection in women during unplanned cesarean delivery, but its effectiveness on those with planned vaginal delivery is still being studied [3].
• Clinical Guidelines: Clinical guidelines recommend antibiotic therapy to reduce the incidence and severity of the infection in both mother and neonate [4].

Postpartum Care

After delivery, postpartum care is crucial to prevent complications. This includes antipyretics to manage fever and expeditious delivery to minimize the risk of further infection.

• Antimicrobial Treatment: In most cases, initial antimicrobial treatment involves a combination of an aminoglycoside and clindamycin [8].

Pain Management

During labor and delivery, pain management is essential. Various medications can relieve pain, and it's crucial to explore options and consider factors when deciding on the best approach.

• Medications for Pain Relief: Many types of medications are available to manage pain during labor and delivery [9].

Based on the provided context, differential diagnosis for generalized infections during labor includes:

• Delivery: This can be a cause of fever and other symptoms associated with chorioamnionitis (resulting from an ascending infection) [6][11]
• Placental abruption: This condition can also present with similar symptoms to chorioamnionitis, such as maternal fever, tachycardia, and uterine tenderness [6][11]
• Other infections: Such as endometritis, peritonitis, sepsis, adult respiratory distress syndrome, and rarely death. These conditions can also present with similar symptoms to chorioamnionitis [10]

It's essential to note that differential diagnosis in pregnant women with clinical signs of chorioamnionitis includes these conditions, and labor may be linked with fever if the puerpera has had epidural analgesia [11].

References: [6] by D Lukanović · 2023 · Cited by 9 — [10] increased intervention, cesarean birth, postpartum uterine atony with hemorrhage, endometritis,