Uterine infection in pregnancy

Uterine infection in pregnancy, also known as chorioamnionitis, is a rare condition that occurs most often at the end of gestation and, in most cases, does not endanger the baby's life.

This infection occurs when urinary tract bacteria reaches the uterus and usually develops in pregnant women with prolonged labor, rupture of the pouch before time, or urinary tract infection.

Uterine infection in pregnancy is treated at the hospital with injection of antibiotics into the vein to prevent complications in the baby, such as pneumonia or meningitis.

Symptoms of Uterine Infection in Pregnancy

Symptoms of uterine infection in pregnancy are rare, but may include:

• Fever above 38ºC;
• Chills and increased sweating;
• Vaginal bleeding;
• Vaginal discharge with foul smell;
• Abdominal pain, especially during intimate contact.

It is normal for uterine infection in pregnancy to cause no symptoms and therefore the pregnant woman may only find that she has an infection during a routine visit to the gynecologist or obstetrician.

However, if symptoms arise, it is recommended that the obstetrician be consulted as soon as possible for blood and ultrasound examinations to diagnose the problem and initiate appropriate treatment. In addition, ultrasound or cardiotography may also be needed to evaluate fetal health.

Treatment for uterine infection in pregnancy

Treatment for uterine infection in pregnancy should be guided by the obstetrician and is usually initiated with the use of antibiotics in the vein such as Gentamicin or Clindamycin for 7 to 10 days to eliminate the bacteria that are causing the infection.

However, in more severe cases where there is a risk of developing pneumonia or meningitis, it may be advisable to give normal delivery before too long. The cesarean should only be used in the latter case to avoid contaminating the abdomen of the pregnant woman.

Useful link:

• Uterine infection