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Chorioamnionitis

OB

Body

#Chorioamnionitis:  Temp ***. WBC ***, FHR***, Uterine tenderness***
- ampicillin 2g q6h
- gentamicin 1.5mg/kg q8h
***clindamycin 900mg OR metronidazole 500 mg pre-op for CSD

A presumptive diagnosis of IAI can be made in women with:
- Fever – ≥39.0°C [102.2°F] or 38.0°C [100.4°F] to 38.9°C [102.02°F] on two occasions 30 minutes apart, without another clear source PLUS one or more of the following:

- Baseline fetal heart rate >160 beats/min for ≥10 minutes, excluding accelerations, decelerations, and periods of marked variability
- Maternal white cell count >15,000/mm3 in the absence of corticosteroids and ideally showing a left shift (bandemia)
- Purulent-appearing fluid coming from the cervical os visualized by speculum examination

Yellow *** markers = placeholders you fill in or delete per case.

Hannah Kelly, MD (compiled from prior Duke residents) · last reviewed 2026-07