What are the management of puerperal pyrexia?
How are puerperal infections treated? Postpartum infections are most commonly treated with oral antibiotics. Your doctor may prescribe clindamycin (Cleocin) or gentamicin (Gentasol). Antibiotics will be tailored to the type of bacteria your doctor suspects caused the infection.
What is the management of puerperal sepsis?
Puerperal sepsis can be prevented and managed by: Maintaining hygiene and hand washing and following strict infection prevention practices before handling mother. Reducing frequent PV examination during labour. Early identification and judicious use of antibiotics in mothers showing signs of infection.
What nursing interventions are important in the prevention of postpartum infection?
Risk For Infection
| Nursing Interventions | Rationale |
|---|---|
| Encourage application of moist heat in the form of sitz baths and of dry heat in the form of perineal lights for 15 min 2–4 times daily. | Water promotes cleansing. Heat dilates perineal blood vessels, increasing localized blood flow and promotes healing. |
What causes puerperal pyrexia?
Bacterial infection was the most prevalent etiology associated with postpartum pyrexia cumulatively. UTI (18.7%) and puerperal sepsis (17.9%) mostly in the form of endometritis, were the two most commonly identified infections in our study.
Who defines puerperal pyrexia?
Puerperal pyrexia is defined as the presence of a fever, which is greater than or equal to 38°C, in a woman within six weeks of her having given birth.
How is puerperal pyrexia diagnosed?
Diagnosis
- vomiting.
- diarrhoea.
- abdominal pain and tenderness.
- tachycardia.
- rash (generalised streptococcal maculopapular rash or purpura fulminans)
- offensive vaginal discharge (smelly discharge suggests anaerobic infection; serosanguinous discharge suggests streptococcal infection)
- productive cough.
- urinary symptoms.
What are the causes of puerperal pyrexia?
Besides endometritis (endomyometritis or endomyoparametritis), wound infection, mastitis, urinary tract infection, and septic thrombophlebitis are the chief causes of puerperal infections.
How is lochia treated?
Unless there are complications like infection, lochia does not require treatment. Using sanitary pads: Do not use tampons; nothing should be inserted into the vagina for at least six weeks to lower the risk of infection.
How do you assess fundus?
Feel for the fundus of the uterus. This is done by starting to gently palpate from the lower end of the sternum. Continue to palpate down the abdomen until the fundus is reached. When the highest part of the fundus has been identified, mark the skin at this point with a pen.
How do you assess fundus postpartum?
UTERUS. The fundus is assessed for: By approximately one hour post delivery, the fundus is firm and at the level of the umbilicus. The fundus continues to descend into the pelvis at the rate of approximately 1 cm or finger-breadth per day and should be nonpalpable by 14 days postpartum.
What is puerperal pyrexia?
Puerperal pyrexia is defined as the presence of a fever, which is greater than or equal to 38°C, in a woman within six weeks of her having given birth. Even in the 21st century, at least 75,000 women die annually, worldwide of puerperal sepsis, mostly in low-income countries.
What is the most common cause of pyrexia?
Puerperal Sepsis : Most common cause. It is an infection of genital tract which occurs as a complication of delivery. Peuperal pyrexia is considered to be due to genital tract infection unless proved otherwise.
What is peurperium puerperium?
Peurperium Puerperium is a period following child birth during which body tissues especially the pelvic organs revert back approximately to pre-pregnant state both anatomically and physiologically. Normally, it lasts for 6 weeks after delivery. What is puerperal pyrexia?
What causes pyrexia after caesarean section?
Usually caused by Staphylococcus spp. Postoperative infection following caesarean section: lower segment caesarean section (LSCS) is the most important risk factor for puerperal pyrexia; there is a significantly increased risk of postpartum sepsis, wound problems, urinary tract infections and fever following LSCS.