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It usually occurs after the first 24 hours and within the first ten days following delivery. [5] The most common infection is that of the uterus and surrounding tissues known as puerperal sepsis, postpartum metritis, or postpartum endometritis.
Septic pelvic thrombophlebitis (SPT), also known as suppurative pelvic thrombophlebitis, is a rare postpartum complication which consists of a persistent postpartum fever that is not responsive to broad-spectrum antibiotics, in which pelvic infection leads to infection of the vein wall and intimal damage leading to thrombogenesis in the ovarian veins (left or right, although right is more ...
Starting the treatment during the intrapartum period is more effective than starting it postpartum; it shortens the hospital stay for the mother and the neonate. [17] There is currently not enough evidence to dictate how long antibiotic therapy should last. Completion of treatment/cure is only considered after delivery. [2]
Without treatment, this infection can lead to permanent visual impairment. Treatment of Neisseria gonorrhoeae conjunctivitis consists of a single dose of ceftriaxone (antibiotic). Typically, all neonates (regardless of symptoms or risk factors) receive erythromycin ointment applied to both eyes after delivery [10]
Treatment is usually with antibiotics. [1] Recommendations for treatment of endometritis following delivery includes clindamycin with gentamicin. [9] Testing for and treating gonorrhea and chlamydia in those at risk is also recommended. [10] Chronic disease may be treated with doxycycline. [10] Outcomes with treatment are generally good. [4]
In contrast, conjunctivitis secondary to infection with C. trachomatis produces conjunctivitis 3 days to 2 weeks after delivery. The discharge is usually more watery (mucopurulent) and less inflamed. Babies infected with chlamydia may develop pneumonitis (chest infection) at a later stage (range 2–19 weeks after delivery).
If the infant has a documented HIV infection after birth, they should be started on 3-drug ART at treatment doses that will be continued indefinitely. [48] In infants younger than 18 months, HIV testing must consist of virologic assays that directly detect the HIV virus, not HIV antibody testing, as it is less reliable in the postpartum period ...
Risk factors: Prior abruption, smoking, trauma, cocaine use, multifetal gestation, hypertension, preeclampsia, thrombophilias, advanced maternal age, preterm premature rupture of membranes, intrauterine infections, and hydramnios. Treatment: Immediate delivery if the fetus is mature (36 weeks or older), or if a younger fetus or the mother is in ...