Chorioamnionitis as a cause of preterm birth

Abstract

This is an observational, descriptive, retrospective study, reviewing a medical record of a case that occurred at the National Maternal Perinatal Institute of Lima during May 2017. Personal, pathological, obstetric history, clinical examination, auxiliary tests, specialized management, and the patient's evolution from admission to hospital discharge were included. Additionally, the case was compared with bibliographic references. Results: The clinical case involved an advanced maternal age patient (37 years), primigravida with a gestational age of 26 weeks and 6 days, diagnosed with chorioamnionitis and preterm labor. The patient initially presented with a threat of preterm labor, followed by premature rupture of membranes. Predominant criteria included rising leukocytosis over time and an increased level of C-reactive protein, leading to the diagnosis of chorioamnionitis and the decision to terminate the pregnancy, resulting in a live female newborn weighing 1040 grams, APGAR 1-5, who was admitted to the ICU. Placental pathology study: Chorioamnionitis. Conclusions: Chorioamnionitis is an ascending infectious pathology that, if not managed in time, leads to both maternal and perinatal complications.

Los factores de riesgo asociados a la macrosomía son de tipo modificables y no modificables, y los valores de OR más altos se encontraron en el caso de la obesidad pregestacional, antecedentes de macrosomía y la ganancia excesiva de peso.