THE TREATMENT OF A PROTRACTED ACTIVE PHASE IN THE PRESENCE OF CHORIOAMNIONITIS SHOULD INCLUDE
A. Oxytocin infusion ✓
B. Prompt Cesarean delivery
C. Manual rotation of a malposition
D. Amnioinfusion with antibiotics
Chorioamnionitis is an infection of the fetal membranes (chorion and amnion) and amniotic fluid, typically caused by ascending bacteria from the lower genital tract. When chorioamnionitis is present during labor, it can lead to a protracted active phase of labor, which may necessitate intervention to expedite delivery and reduce maternal and fetal complications.
In other words, it is associated with adverse maternal and neonatal outcomes, including preterm birth, neonatal sepsis, and maternal postpartum infections.
Oxytocin infusion is a common intervention used in such cases to augment uterine contractions and facilitate progress in labor.
Oxytocin is a hormone that acts on the smooth muscle of the uterus to stimulate contractions. In cases of protracted labor due to chorioamnionitis, the administration of oxytocin via intravenous infusion can help strengthen contractions and promote cervical dilation, ultimately aiding in the safe and timely delivery of the baby. It is crucial for healthcare providers to closely monitor both the mother and fetus during oxytocin infusion to ensure optimal outcomes and minimize risks associated with uterine hyperstimulation.
In summary, when managing a protracted active phase of labor in the presence of chorioamnionitis, oxytocin infusion may be considered as part of the treatment plan to support progress towards delivery while prioritizing the well-being of both mother and baby.
