I read an article about 10 years ago that suggested that foul smelling amniotic fluid was NOT a strong risk factor for sepsis (I remember this well because this went against my residency teaching-either that or I am losing my faculties!). The article stated the smelliest bugs at delivery were not usually the ones that caused the most trouble in infants. Am I losing my mind or can anyone else recall this?
I often teach students and I want to have my facts straight. I was able to find a few studies with small samples that listed smelly fluid as a risk factor. On the Cochrane database the article on neonatal sepsis lists chorioamnionitis as a risk but says nothing specifically about smelly fluid.
Thanks, Mike