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The most common infection is that of the uterus and surrounding tissues known as puerperal sepsis, postpartum metritis, or postpartum endometritis. [ 1 ] [ 6 ] Risk factors include caesarean section (C-section), the presence of certain bacteria such as group B streptococcus in the vagina, premature rupture of membranes , multiple vaginal exams ...
Septic pelvic thrombophlebitis (SPT), also known as suppurative pelvic thrombophlebitis, is a rare postpartum complication which consists of a persistent postpartum fever that is not responsive to broad-spectrum antibiotics, in which pelvic infection leads to infection of the vein wall and intimal damage leading to thrombogenesis in the ovarian veins (left or right, although right is more ...
Illustration of deformed pelvises. A deformed pelvis is a risk factor for obstructed labour: Specialty: Obstetrics: Complications: Perinatal asphyxia, uterine rupture, post-partum bleeding, postpartum infection [1] Causes: Large or abnormally positioned baby, small pelvis, problems with the birth canal [2] Risk factors
Higher risk for C-section; Postpartum hemorrhage; Endometritis [20] Bacteremia (often due to Group B streptococcus and Escherichia coli) [12] Pelvic abscess; Mothers with chorioamnionitis who undergo a C-section may be more likely to develop pelvic abscesses, septic pelvic thrombophlebitis, and infections at the surgical site. [11]
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]
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]
Caused by: Unknown, but risk factors include smoking, advanced maternal age, and prior surgery or trauma to the fallopian tubes. Risk factors include untreated pelvic inflammatory disease, likely due to fallopian tube scarring. [41] Treatment: In most cases, keyhole surgery must be carried out to remove the fetus, along with the fallopian tube.
The use of tampons or menstrual cups are contraindicated as they may introduce bacteria and increase the risk of infection. [22] An increase in lochia between 7–14 days postpartum may indicate delayed postpartum hemorrhage. [23] Hemorrhoids and constipation in this period are common, and stool softeners are routinely given. [24]