| ID | 346 |
|---|---|
| Name | PUERPERAL PYREXIA |
| Cause | Causes: 1. Birth canal infection (puerperal sepsis). 2. Urinary tract infection. 3. Breast complications, like- mastitis, cracked & retracted nipple. 4. Thrombophlebitis. 5. Respiratory tract infection. 6. Other causes of pyrexia. |
| Signs Symptoms | fever and other symptoms like pelvic pain, foul smelling vaginal discharge and delayed reduction of the uterine size |
| Diagnosis | Dagnose postpartum infections primarily through a physical exam. The doctor will review your risk factors and check for fever over 100.4°F (38°C), pain, bleeding, and foul-smelling vaginal discharge. |
| Investigations | Dagnose postpartum infections primarily through a physical exam. The doctor will review your risk factors and check for fever over 100.4°F (38°C), pain, bleeding, and foul-smelling vaginal discharge. |
| Management | Treatment of puerperal sepsis should always be carried out under medical supervision. In general, antipyretics and analgesics are prescribed to reduce fever and pain. The administration of antibiotics is then essential to act on the infectious microorganisms |
| Introduction | Puerperal pyrexia is defined as a rise of temperature to or above 38°C (100.4T) within 14 days of labour or miscarriage, irrespective of the cause. |
| History | |
| Etiology | Infections, inflammations, iatrogenic, excessive trauma to the tissues or rare malignancies. The infectious causes can be due to bacteria, virus, parasites or protozoans |
| Clinical Features | Fever and other symptoms like pelvic pain, foul smelling vaginal discharge and delayed reduction of the uterine size. |
| Preventions | Scrupulous attention to hygiene should be used during all examinations and use of instrumentation during and after labour. Any GAS identified during pregnancy should be treated aggressively Prophylactic Antibiotic may be consider |
| Treatment | Treatment of puerperal sepsis should always be carried out under medical supervision. In general, antipyretics and analgesics are prescribed to reduce fever and pain. The administration of antibiotics is then essential to act on the infectious microorganisms |
| Complications | Septicaemia, pulmonary embolus, disseminated intravascular coagulation and pneumonia |
| Prognosis | Good with prompt and appropriate therapy. In most reviews, maternal death rates associated with infection range from 4-8%, or approximately 0.6 maternal deaths per 100,000 live births |
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