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BY:-Shalini Joshi M.SC NURSING Ist Year S.C.O.N. Dehradun
BY:-Shalini Joshi M.SC NURSING Ist Year S.C.O.N. Dehradun
SHALINI JOSHI
M.Sc NURSING Ist year
S.C.O.N. DEHRADUN
What these following signs are
indicating?
Redness
What are the synonymous words
used for infection and post partum?
Sepsis
Puerperal
Infection that occurs during
postpartum period is termed as?
To define puerperal infection
To describe the incidence and common infections
To enlist the causative organism.
To explain predisposing factor
To discuss the mode of infection and pathology
To describe the diagnostic evaluation, prevention
and management
To define the urinary tract infection
To identify the causative organism.
To explain the diagnosis and management
Puerperal infection is an infection of the
genital tract which occurs as a complication
of delivery.
Puerperal infection morbidity affects 2 -10%
of patient.
5 -10 times higher in caesarean
delivery.
There is marked decline in puerperal
infection due to:-
◦ Improved obstetric care
◦ Availability of wide antibiotic
Endometritis
Endomyometritis
Endoparametritis
Doderlein bacillus (60-70%)
Yeast like fungus –candida albicans (25%)
Staphylococcus albus or aureus
Streptococcus –anerobic common
Beta hemolyticus streptococcus rare
E.coli
Clostridium welchii
Pathogenic factor for vaginal flora
Peritonitis :-
Lacalised pelvic abscess
Thrombophelebitis :-
Ovarian vein of one side is usually involved
Uterine vein may also involved’
Septicemia and pyemia:-
These may lead to endocarditis, pericarditis,
Renal abscess, lung abscess, meningitis or
artheritis.
Thrombophelebitis –
swinging fever with chills and rigor
Features of pyemia
Septicemia-
High temperature with rigor
Rapid pulse
Headache, insomnia or mental confusion
Positive blood culture
Sign/symptoms of infection in the lungs,
meninges or joint
Bacteriological study-
Smear
Culture and antibiotic sensitivity of
purulent material
High vaginal and cervial swabs
Peritoneal fluids
Blood culture
Urine :-
Routine and microscopic examination
Culture if infection is suspected
X – ray
Blood for malaria parasite
Antenatal
Improvement of general condition
Treatment of septic cocci
Abstinence from sexual intercourse in the last
two months
Care about personal hygiene – bathing in dirty
water to be avoided
Avoiding contact with people having infection,
such as cold, boils.
Avoiding unnecessary vaginal examinations and
douches in the later months.
Intrapartum
Staff attending on labor client should be free of
infections.