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The Puerperium (postpartum period), complications, Puerperium Pyrexia, and Puerperium Sepsis, Causes & Symptoms, Diagnosis, Management & treatment, (by GS India Nursing).

In this article, we will get accurate, correct & detailed information about Puerperium Period (postpartum period), puerperium Period complications, causes, sign & symptoms & treatment.

Puerperium Period is considered about 6 weeks after childbirth.

Puerperium Period (Postpartum Period)

Puerperium period: Puerperium period (postpartum period) is considered about 6 weeks of pregnancy after childbirth (delivery). In other words, the period of about 6 weeks after childbirth during which the mother’s reproductive organs return to their original non-pregnant stage.

Puerperium Pyrexia:-

A rise of temperature reaching 100.4°f, (38°C) or more (measured or orally) on 2 separate occasions at 24 hours apart (excluding first 24 hours) within first 10 days following delivery is called puerperium Pyrexia. In some countries postabortal fever is also included.

Puerperal Pyrexia is defined as the presence of of a fever, which is greater than Or equal to 38°C, in a woman within six weeks of her having given birth.

Note: Puerperium period– Puerperium period (postpartum period) is considered about 6 weeks of pregnancy after childbirth (delivery).

Causes:-

Puerperium sepsis:-

An infection of the genital tract which occurs as a complication of delivery is termed puerperal sepsis. Puerperal Pyrexia is considered to be due to genital tract infection unless provide otherwise.

Puerperal sepsis was defined as infection of the genital tract occurring at any time between the onset of rupture of membranes of labour and the 42 day postpartum in which two or more of the following are present. Fever ( oral temperature 38.5°C /101.3°F, or higher on any occasion), pelvic pain.

Causes:-

Intrapartum factors:-

Mode of infection:-

Indigenous:- Sources of infection may be endogenous where organisms or present in the genital tract before delivery. Anaerobic Streptococcus is the predominant pathogen.

Autogenous:- Infection may be are autogenous where organisms, present elsewhere ( skin throat) in the body and migrate to the genital organs by blood stream or by the patient herself. Streptococcus β- haemolyticus, E-coli staphylococcus are important.

Exogenous:- Where infection is contracted from sources outside the patient (from hospital or attendance). Streptococcus β haemolyticus, staphylococcus and E, coli are important.

The primary sites of infection are:-

The infection is either localised to the site or spreads to distant sites. The lacerations on the perineum, vagina, and the cervix are often infected by the organism due to the presence of blood clots or dead space. The wounds become red, swollen and there is associated seropurulent discharge. There may be disruption of the wound if repaired, before control of infection. Diabetes, obesity, low nutritional, status are the other high Risk factors for wound infection.

Spread of infection:-

Clinical features:-

Local infection (wound infection):-

Uterine infection:-

Mild:-

Severe:-

Spreading infection:-

Diagnosis:-

Management and treatment:-

Sepsis treated with intravenous doses of appropriate broad-spectrum antibiotics. Antibiotics ideal antibiotic regime should depend on the culture and sensitivity report. Pending the report Gentamicin (2 mg/kg iv loading dose followed by 1.5 mg/ kg IV every eight hrs). and Ampicillin (1 gIV every 6 hrs) or Clindamycin (900 mg IV every 8 hrs) should be strated. Intravenous administration of Cefotaxime 1g.8 hourly is another alternative. Metronidazole 0.5 g, IV is given at 8 hrs interval to control the anaerobic group. The treatment is continued until the infection is controlled for at least 7-10 days.

Prevention:-

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