skip to main content

Intra-amniotic infection — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

HardLabourIntra-amniotic infectionDRCOG

A 25-year-old woman in labour has been ruptured for 22 hours. She develops temperature 38.4°C, pulse 118/min and uterine tenderness. The fetal baseline is 175 bpm. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Intra-amniotic infection

Maternal fever, tachycardia, uterine tenderness and fetal tachycardia after prolonged membrane rupture suggest intra-amniotic infection. Dehydration may contribute to tachycardia but does not explain uterine tenderness and fever together. The pearl is that maternal sepsis and fetal monitoring abnormalities often present together in chorioamnionitis.

Reference: NICE NG235; RCOG Green-top Guideline No. 64a