abnormal puerperium.pdf

Concerns - Puerperal Period Dr. Ahmed Reda  Postpartum Hemorrhage Definition Excessive blood loss during or after the 3rd stage of labor (>500 ml) Types Early (primary)  within the first 24 hours after delivery Late (secondary)  >24 hours after delivery up to 6 weeks postpartum...

Concerns - Puerperal Period Dr. Ahmed Reda  Postpartum Hemorrhage Definition Excessive blood loss during or after the 3rd stage of labor (>500 ml) Types Early (primary)  within the first 24 hours after delivery Late (secondary)  >24 hours after delivery up to 6 weeks postpartum Causes Uterine atony Most common Lower genital tract lacerations Retained products of conception (Placenta accreta) Uterine rupture Uterine inversion Hematoma  Puerperal Pyrexia Definition  ↑ temperature >38.7oC during the first 24 hours after delivery  ↑ temperature >38oC on any 2 days up to 10 days after delivery Causes Benign fever  resolution within 1st 24 hours Breast engorgement (most common cause) Puerperal sepsis (most dangerous cause) Urinary tract infection Deep Venous Thrombosis (DVT) Respiratory tract infection  Breast engorgement Cause Milk production > infant consumption Common 3-5 days post partum Fever >38.5oC (usually last