Postnatal care Flashcards

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Q

Puerperal pyrexia definition, causes and management

A

Puerperal pyrexia may be defined as a temperature of > 38ºC in the first 14 days following delivery.

Causes:
* endometritis: most common cause
* urinary tract infection
* wound infections (perineal tears + caesarean section)
* mastitis
* venous thromboembolism

Management
if endometritis is suspected the patient should be referred to hospital for intravenous antibiotics (clindamycin and gentamicin until afebrile for greater than 24 hours)

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