Korean J Obstet Gynecol.
2001 May;44(5):1008-1011.
Chorioamnionitis and Fetal Death with Intact Membranes
Involving Staphylococcus aureus at term
- Affiliations
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- 1Department of Obstetetrics and Gynecology, Yonsei University, Wonju College of Medicine, Wonju, Korea.
- 2Department of Pathology, Yonsei University, Wonju College of Medicine, Wonju, Korea.
Abstract
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It has been believed that the intact placental membranes are a good barrier to ascending infection, but this may be only partly true.` Neonatal infection without premature rupture of the amniotic membranes occurs in 1-2% of births. The prevalence of membranes inflammation among births at term is approximately 10%.2-4
Chorioamnionitis is a frequent cause of fetal death mostly as a silent chorioamnionitis without maternal
signs of infection.4
Below we present a case of subclinical acute chorioamnionitis in a woman admitted because of labor
pain at 39weeks with intact membranes and subsequent sudden intrauterine fetal death. Culture specimens from
the endometrium and uterine cervix showed growth of Staphylococcus aureus.