Postpartum Fever | Postpartum fever

Postpartum fever or puerperal fever is defined as an oral temperature of 38°C (100.4°F) on two separate occasions at least 4 hours apart or of >38.5°C ...5-MinuteClinicalConsultTagsTypeyourtagnamesseparatedbyaspaceandhitenterSearch+PostpartumFeverPostpartumFeverisatopiccoveredinthe5-MinuteClinicalConsult.Toviewtheentiretopic,pleaseloginorpurchaseasubscription.5-MinuteClinicalConsult(5MCC)appandwebsitepoweredbyUnboundMedicinehelpsyoudiagnoseandmanage900+medicalconditions.ExclusivebonusfeaturesincludeDiagnosaurusDDx,200pediatricstopics,andmedicalnewsfeeds.Explorethesefreesampletopics:TransverseMyelitisGuillain-BarréSyndromeAcetaminophenPoisoningArthritis,JuvenileIdiopathic(Rheumatoid)Abdominalpain,leftlowerquadrant--Thefirstsectionofthistopicisshownbelow--BasicsDescriptionPostpartumfeverorpuerperalfeverisdefinedasanoraltemperatureof38°C(100.4°F)ontwoseparateoccasionsatleast4hoursapartorof>38.5°C(101.6°F)atanytime.Thismayoccuranytimefromruptureofmembranesto42daysafterdelivery(1).Postpartumfeverisasignthatrequiresinvestigationtodeterminethespecificetiology,whichwillthendictatetreatment.AlsocalledpostpartumpyrexiaorpuerperalfeverEpidemiologyIncidenceAcomplicationin5–7%ofpostpartumwomen(1)10–15%ofscheduledcesareandeliveries(2)15–20%ofunscheduledcesareandeliveries(2)EtiologyandPathophysiologyPathophysiologydependsonthecauseandsite.Mostcommonlyfromsurgicalsiteinfections,endometritis,orthebreast(1)Pelvicandwoundinfectionsarecausedbypolymicrobialvaginalanaerobicandaerobicpathogens(2,3).BreastinfectionsarisefromskinflorasuchasStaphylococcusandStreptococcus(4).RiskFactorsCesareandeliveriesOperativevaginaldeliveryEpiduralanalgesiaLongoperativedurationIncreaseddurationofactivelaborMembranesrupturedfor>6hoursorpretermruptureofmembranesMultiplepelvicexaminationsduringlaborPositiveGBSstatusPreexistinginfectionwithbacterialvaginosisInternalfetalmonitoringRetainedproductsofconceptionLowsocioeconomicstatusUrethralcatheterizationObesitySmokingIntubationNipplefissureBreastfeedingBreasten


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