1、Puerperal Infection,UNION HOSPITAL,Definition,Puerperal Infection: Puerperal Infection is defined as all infectons originating in the femal genital tract subsequent to parturition,Puerperal Morbidity:Puerperal morbidity is defined as temperature of 38 or higher on any 2 of the first 10 days postpart
2、um exclusive of the initial 24 hours and to be taken by mouth with a standard technique at least four times daily,Puerperal Infection is a conspicuous determinant of puerperal disabilityNowadays it still ranked as the prime cause of maternal mortality in the country,Etiology,1.Predisposing Factors:(
3、1)Delivery,special in obstatric manipulation,prolnged labor(2)Premature rupture of membrane(3)Multiple pelvic examination,(4)Chorioamnionitis (5)Postpartum hemorrage (6)Traumas of genital tract during labor,2.Organisms involved puerperal infection: (1) Aerobic-hemolytic treptococciit is the major in
4、fective agent introduceted from outside resulting in puerperal infection.it can produce extratoxin, resulting in severe infection and septicemia.,Clinic feature: Pyrexia of as much as 38 in early phase Chills Rapid pulse rate Abdominal distension Delayed involution of uterus Tenderness in the position of uterus and uterine adnexia,(2)Anaerobic Streptococci:Peptococci and peptostreptococci are usually involved . They are the organisms that normally reside in the vagina.,
