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The most common infection is that of the uterus and surrounding tissues known as puerperal sepsis, postpartum metritis, or postpartum endometritis. [ 1 ] [ 6 ] Risk factors include caesarean section (C-section), the presence of certain bacteria such as group B streptococcus in the vagina, premature rupture of membranes , multiple vaginal exams ...
Puerperal fever mortality rates for birthgiving women at the first clinic at the Vienna General Hospital 1841–1849 reported by Semmelweis. [5] Year Month Births Deaths Rate (%) Notes 1841 January 1841: 254 37 14.6 February 1841: 239 18 7.5 March 1841: 277 12 4.3 April 1841: 255 4 1.6 May 1841: 255 2 0.8 June 1841: 200 10 5.0 July 1841: 190 16
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 ...
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 ...
Postpartum metritis, also known as puerperal sepsis, occurs within 21 days and is most common within 10 days of delivery.Metritis is characterized by an enlarged uterus and a watery red-brown fluid to viscous off-white purulent uterine discharge, which often has a bad smell.
Puerperal sepsis is an ascending infection of the genital tract. [72] It may happen during or after labour. Signs to look out for include signs of infection (pyrexia or hypothermia, raised heart rate and respiratory rate, reduced blood pressure), and abdominal pain, offensive lochia (blood loss) increased lochia, clots, diarrhea and vomiting.
Women with a personal or family history of puerperal psychosis or bipolar disorder are at higher risk of a puerperal episode. [ 77 ] [ 78 ] [ 79 ] The highest risk of all (82%) is a combination of a previous postpartum episode and at least one earlier non-puerperal episode.
Sepsis is defined as SIRS in response to an infectious process. [49] Severe sepsis is defined as sepsis with sepsis-induced organ dysfunction or tissue hypoperfusion (manifesting as hypotension, elevated lactate, or decreased urine output). Severe sepsis is an infectious disease state associated with multiple organ dysfunction syndrome (MODS) [9]