Primary Nursing Diagnosis

Infection related to microorganism invasion of sterile areas OUTCOMES. Risk control

INTERVENTIONS. Medication management; Labor induction; Cesarean section care

^ PLANNING AND IMPLEMENTATION Collaborative

MEDICAL. The medical management of a patient diagnosed with chorioamnionitis is delivery of the infant, regardless of the gestational age. Tocolytic therapy is contraindicated if chorioamnionitis is present. Delivery benefits the mother by emptying the uterus of all infected material. Once delivered, the infant can then receive the necessary antibiotic therapy. Usually, spontaneous labor occurs because of the infection. If an adequate contraction pattern and progressive dilation of the cervix are not noted, contractions can be induced by oxytocin (Pitocin). Broad-spectrum antibiotics administered during labor cross the placenta and achieve peak levels in the fetal circulation within an hour after parenteral administration to the mother. Cesarean section is typically avoided because of the increased risk of spreading the infection; however, if the fetus is showing signs of distress, a cesarean section is performed. If the fetus is preterm, arrange for a neonatologist or pediatrician to speak with the patient before delivery; notification of the nursery is also important. Immediately after delivery, cultures of the placenta and baby are obtained, and the newborn is monitored carefully for signs and symptoms of infection.

Pharmacologic Highlights

Medication or

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