Chorioamnionitis Nursing Interventions	Rationale
Assess vital signs and monitor the signs of infection.	To establish baseline observations and check the progress of the infection as the patient receives medical treatment.
Inform the patient about amniocentesis.	Amniocentesis is an invasive procedure involving the insertion of a needle into the amniotic sac to aspirate samples of the amniotic fluid. Low levels of glucose and high concentrations of WBC and bacteria in the sample are indicative of chorioamnionitis.
Administer the prescribed antibiotics.	To treat chorioamnionitis.
Monitor vital signs closely.	To check the progress of the patient under antibiotic treatment.
Provide symptomatic relief for the patient.	The patient may require treatment based on their symptoms, such as antipyretics for fever.
Explain to the mother that C-section may be performed.	A cesarean delivery (C-section) may be the preferred method of delivery in case of chorioamnionitis for the safety of the mother and the baby.

Chorioamnionitis Nursing Interventions	Rationale
Assess the patient’s vital signs at least every hour. Increase the intervals between vital signs taking as the patient’s vital signs become stable.	To assist in creating an accurate diagnosis and monitor effectiveness of medical treatment, particularly the antibiotics and fever-reducing drugs administered.
Remove excessive clothing, blankets and linens. Adjust the room temperature.	To regulate the temperature of the environment and make it more comfortable for the patient.
Administer the prescribed antibiotic and anti-pyretic medications.	Use the antibiotic for the treatment of chorioamnionitis. Use the anti-pyretic medication to stimulate the hypothalamus and normalize the body temperature.
Offer a tepid sponge bath.	To facilitate the body in cooling down and to provide comfort.
Elevate the head of the bed.	Head elevation helps improve the expansion of the lungs, enabling the patient to breathe more effectively.

Chorioamnionitis Nursing Interventions	Rationales
Assess the patient’s vital signs and perform a focused physical assessment, looking for any signs of bleeding.	Chorioamnionitis increases the risk for bleeding during delivery. Low blood pressure, low temperature, and dizziness may result from excessive bleeding.
Obtain Group and Save blood samples from the patient. Anticipate the need for the patient to have a transfusion whole blood replacements.	To prepare for any need to perform blood transfusion as prescribed. If the blood loss is too much and immediate correction is warranted, whole blood transfusion is administered.
Perform the blood transfusion if indicated.	Blood transfusion may be required if there is too much blood loss.
Post-surgery, assess and monitor the patient’s surgical wound site for any signs of unexpected bleeding.	To treat any unexpected bleeding as early as possible.

Chorioamnionitis Nursing Interventions	Rationale
Assess vital signs, conduct physical examination, and commence daily weight monitoring.	Headaches, low blood pressure, and pain are associated with the mother’s blood loss.
Start input and output monitoring.	To monitor circulatory blood volume. To ensure that the mother has adequate oral hydration or if there is a need to commence IV hydration therapy.
Consider hospitalization for serious maternal hemorrhage.	To closely monitor the symptoms of chorioamnionitis and deficient fluid volume in the appropriate setting.
Prepare the patient for C-section related to maternal bleeding.	For heavy bleeding, immediate C-section is strongly recommended. Corrective surgery to control the bleeding will also be done and may involve some surgical techniques as appropriate.
Refer the patient to a dietitian for proper monitoring and advice of salt, caloric and protein intake.	Consuming salt between 2 to 4 g per day is ideal as very low salt intake may increase dehydration, while high salt intake may cause edema formation.

Chorioamnionitis Nursing Care Plans Diagnosis and Interventions

Signs and Symptoms of Chorioamnionitis