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Postpartum infections, also known as childbed fever and puerperal fever, are any bacterial infections of the female reproductive tract following childbirth or miscarriage. [1] Signs and symptoms usually include a fever greater than 38.0 °C (100.4 °F), chills, lower abdominal pain, and possibly bad-smelling vaginal discharge. [1]
Caesarean section, also known as C-section, cesarean, or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or child at risk. [ 2 ]
The acute form is usually from an infection that passes through the cervix as a result of an abortion, during menstruation, following childbirth, or as a result of douching or placement of an IUD. [2] [3] Risk factors for endometritis following delivery include Caesarean section and prolonged rupture of membranes. [1]
The ACOG also note that contraindications for induced labour are the same as for spontaneous vaginal delivery, including vasa previa, complete placenta praevia, umbilical cord prolapse or active genital herpes simplex infection, in which cases a cesarean section is the safest delivery method.
Certain bacterial infections can be serious and in some cases, life-threatening, say experts.
Women with PROM at any age are at high risk of infection because the membranes are open and allow bacteria to enter. Women are checked often (usually every 4 hours) for signs of infection: fever (more than 38 °C or 100.5 °F), uterine pain, maternal tachycardia, fetal tachycardia, or foul-smelling amniotic fluid. [10]
Even when the PID infection is cured, effects of the infection may be permanent, or long lasting. This makes early identification essential. A limitation of this is that diagnostic tests are not included in routine check-ups, and cannot be done using signs and symptoms alone; the required diagnostic tests are more invasive than that. [40]
Signs of infection Notes References abnormal complete blood count: looking for signs of infection in the blood: increased white cell count; presence of immature neutrophils [31] [32] increased C-reactive protein: a chemical in the blood that shows that the baby's immune system is actively reacting to infection [31] [32] [33] accessory muscle use
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