Obstetrics & Gynecology (lww.com)

CLINICAL RECOMMENDATIONS
In summary, although the diagnosis of suspected intraamniotic infection frequently includes maternal fever as a clinical criterion, scenarios exist in which fever in patients with intraamniotic infection is not uniformly present. Importantly, the patient’s clinical situation should be individualized based on their presentation and evaluation, thereby enabling indicated discussions and therapeutic interventions with the goal of minimizing the patient’s risks for severe morbidity and mortality.

Based on these considerations, the American College of Obstetricians and Gynecologists is updating the recommendation in the Committee Opinion as follows:

For this Clinical Practice Update, the diagnosis of suspected intraamniotic infection is made when the maternal temperature is greater than or equal to 39.0°C or when the maternal temperature is 38.0–38.9°C and one additional clinical risk factor is present. The diagnosis of suspected intraamniotic infection may also be made in the absence of maternal fever when other associated clinical signs and symptoms are present.