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Diagnosis dan manajemen

korioamnionitis klinis

Alan T.N. Tita, William W. Andrews


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Infeksi intraamniotik

peradangan akut pada selaput dan korion dari


Definisi plasenta

korioamninitis Polimicrobial ascenderen infection  ruptur selaput


ketuban

Mycoplasma genital infection  selaput ketuban intak

Penyebaran infeksi perhematogen  jarang

Infeksi + bergejala klinis  korioamnionitis klinis

Definisi korioamnionitis bervariasi: klinis, mikrobiologi dan histopatologi.


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• Penyulit 1-4% • Durasi pecah selaput

Faktor risiko
Insidensi
kelahiran di Amerika ketuban yg lama
Epidemiologi Serikat • Persalinan lama
• Penyulit 40-70% • Nulipara
kelahiran prematur • Pemantauan
dgn ketuban pecah persalinan internal
dini maupun berulang /
persalinan spontan pemeriksaan vagina
berulang
• Cairan ketuban +
mekonium
• Merokok
• Penyalahgunaan
narkoba dan obat-
obatan
• Imunocompremised
• Anestesi epidural
• Kolonisasi
streptokokus grup B
• Vaginosis bakterial
• Infeksi menular
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Mekanisme
korioamnionitis
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Temuan klinis utama :


Tanda dan gejala Demam  > 100,4 F 
korioamnionitis membutuhkan evaluasi
dan intervensi yg tepat

nyeri fundus uteri 

maternal takikardi

fetal takikardi

cairan amniotik purulen


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Is the color of gold, Is the colour of the clear Is the color of blood, and
butter and ripe lemons. sky and the deep sea. It is because of this it has
In the spectrum of visible located between violet historically been
light, yellow is found and green on the optical associated with sacrifice,
between green and spectrum. danger and courage.
orange.
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