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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 ...
Postpartum metritis, also known as puerperal sepsis, occurs within 21 days and is most common within 10 days of delivery.Metritis is characterized by an enlarged uterus and a watery red-brown fluid to viscous off-white purulent uterine discharge, which often has a bad smell.
Puerperal sepsis is an ascending infection of the genital tract. [72] It may happen during or after labour. Signs to look out for include signs of infection (pyrexia or hypothermia, raised heart rate and respiratory rate, reduced blood pressure), and abdominal pain, offensive lochia (blood loss) increased lochia, clots, diarrhea and vomiting.
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 ...
Suspected based on symptoms and examination, supported by testing the fluid or ultrasound [2] Differential diagnosis: Urinary incontinence, bacterial vaginosis [3] Treatment: Based on how far along a woman is in pregnancy and whether complications are present [2] Frequency ~8% of term pregnancies, [2] ~30% of preterm pregnancies [4]
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Normal puerperal uterus may be displaced by a full bladder or a loaded rectum. It feels boggy and softer upon palpation. The presence of features responsible for subinvolution may be evident.
Transvaginal ultrasonography – Ultrasound is performed through the vagina; Transabdominal ultrasonography – Ultrasound is performed across the abdominal wall or through the abdominal cavity; In normal state, each body tissue type, such as liver, spleen or kidney, has a unique echogenicity. Fortunately, gestational sac, yolk sac and embryo ...