Health precautions can be done before the mother plans a pregnancy. A healthy lifestyle will be the main asset for pregnant women. So what about mothers who have health problems? Can pregnant women with certain medical history affect the fetus?
Who wants to be sick, everyone wants to be healthy. Even so, some pregnant women are worried because doctors have found that there are infections in the body that will affect their health. At least from various infections, this time my team of staff will discuss infections regarding chorioamnionitis in pregnant women. How does chorioamnionitis attack the body of a pregnant woman and how does it affect the fetus?
Definition of Chorioamnionitis
Chorioamnionitis or chorioamnionitis is an infection of the chorion and amnion. This infection is directly related to the placenta which is an important protector while in the womb. Even though it only occurs in 1-2 pregnancies, you must remain vigilant because it will be fatal to the fetus. Chorioamnionitis is an infection that can infiltrate through the placenta which will disturb the fetus. The cause is bacteria such as E. Coli and group B streptococi.
Pregnant women who have a history of premature rupture of the amniotic sac or known as a premature repture of the membrane which will increase the risk of chorioamnionitis and the risk of the placental sac before. This of course is very dangerous for the health of the fetus because the placenta is the source of life for the fetus in the womb.
In pregnant women who have chorioamnionitis infection, they often experience fever and worsening heart rate. Changes in heart rate are not only for the mother but also affect the fetal heart rate. Mothers often complain of pain in the uterus and seeping in the placental fluid which will make it smell foul. If the placenta is not ruptured, it will be examined to determine any abnormalities in the fetus.
Thus, the symptoms that are often associated with chorioamnionitis are leukocytosis of less than 15,000 cells / mm3. Then the heart rate is less than 160 beats / minute even the mother’s pulse rate is less than 100 beats / minute. Pregnant women often complain of pain when they don’t contract and also smelly amniotic fluid.
Causes of Chorioamnionitis
The causes of the occurrence of chorioamnionitis in pregnant women are indeed diverse, an unhealthy lifestyle can lead to a higher risk of chorioamnionitis in pregnant women. Pregnant women who have had premature labor may have a higher risk. In addition, prolonged labor and prolonged rupture of membranes can increase the risk of chorioamnionitis. Some are caused by pathogenic bacteria and also unhealthy lifestyles such as cigarettes and alcohol.
The placenta has an important role for the life of the baby in the womb. During pregnancy the placenta helps supply the baby’s needs. The placenta becomes a place of excretion exchange where the rest of the metabolism and nutrients are obtained by pregnant women. With the placenta, it can remove fetal metabolic waste substances into the mother’s bloodstream which is excreted through the kidneys.
In addition, the placenta is a nutritional pathway that can supply the fetus’s needs for growth and development. The placenta is connected to the blood flow of pregnant women which is greatly influenced by the food that the mother consumes. Fix with adequate nutrition and nutrition so as not to worsen the condition of the fetus.
The placenta can strengthen the immune system so that it helps the fetus avoid bacterial and viral infections. The immune system in the fetus comes from the mother, if the mother’s immune system is reduced, the baby will also experience interference. Finally, the placenta has a function to carry oxygen to the fetus. Oxygen is needed by the fetus for the development of metabolism that takes place in each cell or tissue. Lack of oxygen which will cause interference with fetal development.
By knowing the various functions of the placenta in fetal growth and development while in the womb, it is certain that it is closely related to health problems if the placenta is disturbed. This is what worsens the condition of the mother who experiences chorioamnionitis.
In women infected with chorioamnionitis, about 95-97% can be treated with antibiotics. Babies born prematurely are more prone to more serious complications and can even cause the baby to die because of a more serious infection.
Meanwhile, if chorioamnionitis occurs early in pregnancy and the mother does not experience any symptoms, it is highly likely that the mother will have a premature baby or die in the womb.
Treatment and Prevention of chorioamnionitis
Maintaining health with a healthy lifestyle is indeed the best advice. Although it is often a cliché, it’s just that it is true. For pregnant women, health is very important. Especially keeping the fetus in the womb. Infection that occurs in the placenta will be associated with preterm birth. Even babies will be susceptible to infections that endanger safety.
Treatment can be done by referring the patient to the hospital. Then the doctor will give antibiotics and terminate the pregnancy. Either the mature cervix is induced labor with oxytocin or if the cervix is premature with prostaglandins and oxytocin infusion. If vaginal delivery is carried out, the antibiotics after delivery will be stopped. Even if delivery is by cesarean section then antibiotics and additional metronodazole are given.
The condition of the mother and the fetus is crucial for the actions to be taken by the medical. It is better if you are consulted when experiencing symptoms associated with chorioamnionitis so that you can avoid unwanted disturbances in fetal growth and development. Chorioamnionitis is at higher risk in pregnant women who have experienced ruptured membranes in previous pregnancies, if you are one of them consulted for prevention.
Thus chorioamnionitis is an obstetric problem which is considered as the main cause of preterm birth. So that it will have a health impact on the fetus. Even 70% of the causes of prenatal mortality are due to chorioamnionitis.
The incidence of chorioamnionitis is related to gestational age to economic conditions that result in less attention to nutrition by pregnant women. Pregnant women who lack nutrition during pregnancy will cause a higher incidence of infection. Chorioamnionitis will cause premature birth and premature rupture of the membranes, causing perinatal illness and death. Although until now premature rupture of membranes has not found the main cause. One of them is closely related to bacterial infection.
Chorioamnionitis is often found in pregnancy or intra delivery. Conditions of pregnant women associated with lack of nutrition and anemia can increase the risk of chorioamnionitis. Healthy behavior, good and healthy sexual life and also consumption of foods that contain nutrients are needed for pregnant women to avoid Chorioamnionitis. Bacterial culture examination can be carried out to help the treatment process carried out on pregnant women who are stricken w
ith chorioamnionitis. Providing anti-infective drugs that will help the mother from pain and neonatal.