Evaluation and Management of Women and Newborns with a Maternal Diagnosis of Chorioamnionitis: Summary of a Workshop

Rosemary D. Higgins, George Saade, Richard A. Polin, William A. Grobman, Irina A. Buhimschi, Kristi Watterberg, Robert M. Silver, Tonse N K Raju

Research output: Contribution to journalArticle

117 Citations (Scopus)

Abstract

In January 2015, the Eunice Kennedy Shriver National Institute of Child Health and Human Development invited an expert panel to a workshop to address numerous knowledge gaps and to provide evidence-based guidelines for the diagnosis and management of pregnant women with what had been commonly called chorioamnionitis and the neonates born to these women. The panel noted that the term chorioamnionitis has been used to label a heterogeneous array of conditions characterized by infection and inflammation or both with a consequent great variation in clinical practice for mothers and their newborns. Therefore, the panel proposed to replace the term chorioamnionitis with a more general, descriptive term: "intrauterine inflammation or infection or both," abbreviated as "Triple I." The panel proposed a classification for Triple I and recommended approaches to evaluation and management of pregnant women and their newborns with a diagnosis of Triple I. It is particularly important to recognize that an isolated maternal fever is not synonymous with chorioamnionitis. A research agenda was proposed to further refine the definition and management of this complex group of conditions. This article provides a summary of the workshop presentations and discussions.

Original languageEnglish (US)
Pages (from-to)426-436
Number of pages11
JournalObstetrics and Gynecology
Volume127
Issue number3
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

Fingerprint

Chorioamnionitis
Mothers
Newborn Infant
Education
Pregnant Women
National Institute of Child Health and Human Development (U.S.)
Inflammation
Infection
Fever
Guidelines
Research

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Evaluation and Management of Women and Newborns with a Maternal Diagnosis of Chorioamnionitis : Summary of a Workshop. / Higgins, Rosemary D.; Saade, George; Polin, Richard A.; Grobman, William A.; Buhimschi, Irina A.; Watterberg, Kristi; Silver, Robert M.; Raju, Tonse N K.

In: Obstetrics and Gynecology, Vol. 127, No. 3, 01.03.2016, p. 426-436.

Research output: Contribution to journalArticle

Higgins, RD, Saade, G, Polin, RA, Grobman, WA, Buhimschi, IA, Watterberg, K, Silver, RM & Raju, TNK 2016, 'Evaluation and Management of Women and Newborns with a Maternal Diagnosis of Chorioamnionitis: Summary of a Workshop', Obstetrics and Gynecology, vol. 127, no. 3, pp. 426-436. https://doi.org/10.1097/AOG.0000000000001246
Higgins, Rosemary D. ; Saade, George ; Polin, Richard A. ; Grobman, William A. ; Buhimschi, Irina A. ; Watterberg, Kristi ; Silver, Robert M. ; Raju, Tonse N K. / Evaluation and Management of Women and Newborns with a Maternal Diagnosis of Chorioamnionitis : Summary of a Workshop. In: Obstetrics and Gynecology. 2016 ; Vol. 127, No. 3. pp. 426-436.
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