Postpartum infections | Puerperal fever

Postpartum infections, also known as childbed fever and puerperal fever, are any bacterial infections of the female reproductive tract following childbirth ...PostpartuminfectionsFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchHumandiseaseMedicalconditionPostpartuminfectionsOthernamesPuerperalfever,childbedfever,maternalsepsis,maternalinfection,puerperalinfectionsStreptococcuspyogenes(red-stainedspheres)isresponsibleformanycasesofseverepuerperalfever.(900×magnification)SpecialtyObstetricsSymptomsFever,lowerabdominalpain,bad-smellingvaginaldischarge[1]CausesTypicallymultipletypesofbacteria[1]RiskfactorsCesareansection,prematureruptureofmembranes,prolongedlabour,malnutrition,diabetes[1][2]TreatmentAntibiotics[1]Frequency11.8million[3]Deaths17,900[4]Postpartuminfections,alsoknownaschildbedfeverandpuerperalfever,areanybacterialinfectionsofthefemalereproductivetractfollowingchildbirthormiscarriage.[1]Signsandsymptomsusuallyincludeafevergreaterthan38.0 °C(100.4 °F),chills,lowerabdominalpain,andpossiblybad-smellingvaginaldischarge.[1]Itusuallyoccursafterthefirst24hoursandwithinthefirsttendaysfollowingdelivery.[5]Themostcommoninfectionisthatoftheuterusandsurroundingtissuesknownaspuerperalsepsis,postpartummetritis,orpostpartumendometritis.[1][6]RiskfactorsincludeCaesareansection(C-section),thepresenceofcertainbacteriasuchasgroupBstreptococcusinthevagina,prematureruptureofmembranes,multiplevaginalexams,manualremovaloftheplacenta,andprolongedlabouramongothers.[1][2]Mostinfectionsinvolveanumberoftypesofbacteria.[1]Diagnosisisrarelyhelpedbyculturingofthevaginaorblood.[1]Inthosewhodonotimprove,medicalimagingmayberequired.[1]Othercausesoffeverfollowingdeliveryincludebreastengorgement,urinarytractinfections,infectionsofanabdominalincisionoranepisiotomy,andatelectasis.[1][2]DuetotherisksfollowingCaesareansection,itisrecommendedthatallwomenreceiveapreventivedoseofantibioticssuchasampicillinaroundthetimeofsurgery.[1]Treatmentofestablishedinfectionsiswithantibiotics,withmo


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