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Chorioamnionitis — DRCOG MCQ

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ModerateLabourChorioamnionitisDRCOG

A 31-year-old woman in labour develops a temperature of 38.7°C, maternal tachycardia and uterine tenderness. The liquor has an offensive smell and the fetal heart baseline is 170 bpm. What is the most likely diagnosis?

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Correct answer: A — Chorioamnionitis

Fever, maternal and fetal tachycardia, uterine tenderness and offensive liquor are typical of intra-amniotic infection. Labour can raise pulse and temperature slightly, but this cluster is pathological. Placenta praevia usually presents with painless bleeding rather than sepsis features. Hyperemesis is an early pregnancy condition and does not fit this intrapartum presentation.

Reference: NICE NG235; NICE NG51