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Postpartum infections, also known as childbed fever and puerperal fever, are any bacterial infections of the female reproductive tract following childbirth or miscarriage. [1] Signs and symptoms usually include a fever greater than 38.0 °C (100.4 °F), chills, lower abdominal pain, and possibly bad-smelling vaginal discharge . [ 1 ]
Vienna General Hospital in 1784. Semmelweis worked at the maternity clinic. Copper engraving by Josef & Peter Schafer. Historically, puerperal fever was a devastating disease. It affected women within the first three days after childbirth and progressed rapidly, causing acute symptoms of severe abdominal pain, fever and debility.
Puerperal fever was a deadly infection, common in mid-19th-century hospitals. Semmelweis proposed the practice of washing hands with chlorinated lime solutions in 1847 while working in Vienna General Hospital 's First Obstetrical Clinic, where doctors' wards had three times the mortality of midwives' wards.
A postpartum disorder or puerperal disorder is a disease or condition which presents primarily during the days and weeks after childbirth called the postpartum period.The postpartum period can be divided into three distinct stages: the initial or acute phase, 6–12 hours after childbirth; subacute postpartum period, which lasts two to six weeks, and the delayed postpartum period, which can ...
Outcomes for mothers in childbirth were especially poor before antibiotics were discovered in the 1930s, because of high rates of puerperal fever. [165] Until germ theory was accepted in the mid-1800s, it was assumed that puerperal fever was caused by a variety of sources, including the leakage of breast milk into the body and anxiety. Later ...
Gordon's Treatise on the Epidemic Puerperal Fever of Aberdeen. Alexander Gordon was born in 1752 in the farmstead of Milton of Drum, Aberdeenshire, Scotland. [6] His father, also Alexander Gordon, was a tenant farmer at Milton of Drum, [7] some nine miles to the west of Aberdeen city centre. [6]
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 ...
The main causes of obstructed labour include a large or abnormally positioned baby, a small pelvis, and problems with the birth canal. [2] Both the size and the position of the fetus can lead to obstructed labor. Abnormal positioning includes shoulder dystocia where the anterior shoulder does not pass easily below the pubic bone. [2]