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Questions and Answers
What is the primary cause of puerperal sepsis?
What is the primary cause of puerperal sepsis?
Which of the following is a risk factor for puerperal sepsis?
Which of the following is a risk factor for puerperal sepsis?
What is a common symptom of puerperal sepsis?
What is a common symptom of puerperal sepsis?
What is a potential complication of puerperal sepsis?
What is a potential complication of puerperal sepsis?
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How is puerperal sepsis diagnosed?
How is puerperal sepsis diagnosed?
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What is a common treatment for puerperal sepsis?
What is a common treatment for puerperal sepsis?
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How can puerperal sepsis be prevented?
How can puerperal sepsis be prevented?
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What is the primary goal of treatment for puerperal sepsis?
What is the primary goal of treatment for puerperal sepsis?
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Study Notes
Definition
- Puerperal sepsis, also known as puerperal infection, is a bacterial infection of the reproductive tract that occurs during or after pregnancy, childbirth, or abortion.
- It is a serious and potentially life-threatening condition.
Causes
- Bacterial infection, usually by Streptococcus, Staphylococcus, or Escherichia coli.
- Risk factors:
- Cesarean section or instrumental delivery
- Prolonged labor or rupture of membranes
- Multiple pregnancy or placenta previa
- Pre-existing medical conditions, such as diabetes or HIV
- Poor uterine involution or placental retention
Symptoms
- Fever, usually within 24-48 hours after delivery
- Abdominal pain or tenderness
- Foul-smelling lochia (vaginal discharge)
- Chills or rigors
- Tachycardia or tachypnea
- Uterine tenderness or swelling
- Purulent or bloody discharge from the uterus
Complications
- Sepsis or septic shock
- Endometritis or parametritis
- Peritonitis or pelvic abscess
- Thrombophlebitis or pulmonary embolism
- Maternal mortality
Diagnosis
- Clinical evaluation and medical history
- Laboratory tests:
- Complete blood count (CBC) and blood cultures
- Urinalysis and urine cultures
- Endometrial biopsy or swab
- Imaging studies:
- Ultrasound or computed tomography (CT) scan of the abdomen and pelvis
Treatment
- Broad-spectrum antibiotics, usually intravenously
- Surgical intervention, such as drainage of abscesses or removal of infected tissue
- Supportive care, including fluids, oxygen, and pain management
- Monitoring for complications and sepsis
Prevention
- Good hygiene and infection control practices during delivery and postpartum care
- Proper use of antibiotics during cesarean section or instrumental delivery
- Regular postpartum check-ups and monitoring for signs of infection
Definition of Puerperal Sepsis
- A bacterial infection of the reproductive tract during or after pregnancy, childbirth, or abortion
- A serious and potentially life-threatening condition
Causes of Puerperal Sepsis
- Bacterial infection by Streptococcus, Staphylococcus, or Escherichia coli
- Risk factors include:
- Cesarean section or instrumental delivery
- Prolonged labor or rupture of membranes
- Multiple pregnancy or placenta previa
- Pre-existing medical conditions like diabetes or HIV
- Poor uterine involution or placental retention
Symptoms of Puerperal Sepsis
- Fever within 24-48 hours after delivery
- Abdominal pain or tenderness
- Foul-smelling lochia (vaginal discharge)
- Chills or rigors
- Tachycardia or tachypnea
- Uterine tenderness or swelling
- Purulent or bloody discharge from the uterus
Complications of Puerperal Sepsis
- Sepsis or septic shock
- Endometritis or parametritis
- Peritonitis or pelvic abscess
- Thrombophlebitis or pulmonary embolism
- Maternal mortality
Diagnosis of Puerperal Sepsis
- Clinical evaluation and medical history
- Laboratory tests:
- Complete blood count (CBC) and blood cultures
- Urinalysis and urine cultures
- Endometrial biopsy or swab
- Imaging studies:
- Ultrasound or computed tomography (CT) scan of the abdomen and pelvis
Treatment of Puerperal Sepsis
- Broad-spectrum antibiotics, usually intravenously
- Surgical intervention, such as drainage of abscesses or removal of infected tissue
- Supportive care, including fluids, oxygen, and pain management
- Monitoring for complications and sepsis
Prevention of Puerperal Sepsis
- Good hygiene and infection control practices during delivery and postpartum care
- Proper use of antibiotics during cesarean section or instrumental delivery
- Regular postpartum check-ups and monitoring for signs of infection
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Description
Test your knowledge on puerperal sepsis, a serious bacterial infection of the reproductive tract that occurs during or after pregnancy, childbirth, or abortion. Learn about its causes, risk factors, and more.
