امرأة عمرها ٣٠ سنة حامل في الأسبوع ٣٣، تشتكي من سائل يتسرب من المهبل منذ ٦ ساعات بدون انقباضات. الحرارة ٣٨٫٤، والنبض ١١٢، ونبض الجنين ١٧٠، والسائل كريه الرائحة، والرحم مؤلم. ما الأرجح؟

A 30-year-old at 33 weeks reports fluid leaking from the vagina for 6 hours without contractions. T 38.4 °C, HR 112, fetal heart 170, foul-smelling fluid and a tender uterus. What is most likely?

1. Uncomplicated term labour
2. Chorioamnionitis after rupture of membranes
3. Normal vaginal discharge of pregnancy
4. Simple urine leakage from uterine pressure

Answer: B) Chorioamnionitis after rupture of membranes. Ruptured membranes with maternal fever and tachycardia, fetal tachycardia, foul fluid and uterine tenderness indicate intra-amniotic infection, needing IV antibiotics and delivery planning.