Newborn delivered by a mother with signs of chorioamnionitis (uterine tenderness and fever) has fever, tachypnea, and ill appearance, most consistent with neonatal sepsis
Key idea: All neonates with concern for sepsis should be empirically treated with ampicillin and gentamicin
Key idea: Mothers with postpartum endometritis are treated with ampicillin + gentamicin + clindamycin (only difference between the two)
pablox1961I would add that Chorioamnionitis (maternal fever + uterine tenderness) is usually treated with Ampicillin (to cover Listeria) & Gentamicin and is the probable cause in this case versus Postpartum Endometritis which is treated with Clindamycin + Gentamicin and is a Secondary (late) cause of postpartum hemorrhage. +3
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