Chorioamnionitis and Fetal Death with Intact Membranes Involving Staphylococcus aureus at term. |
Young Sim Lee, Dong Soo Cha, Ji Hoon Lim, Young Jin Lee, In Bai Chung, Kwang Hwa Park, Tae Heon Kim |
1Department of Obstetetrics and Gynecology, Yonsei University, Wonju College of Medicine, Wonju, Korea. 2Department of Pathology, Yonsei University, Wonju College of Medicine, Wonju, Korea. |
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Abstract |
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. |
Key Words:
Chorioamnionitis, Staphylococcus aureus, Intact Membranes, Fetal death |
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