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Obstetrics > Puerperium: Pyrexia and GBS > Flashcards

Puerperium: Pyrexia and GBS Flashcards

1
Q

Define puerperal pyrexia

A

T >38 within 14d miscarriage or delivery

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2
Q

What is the most common cause of puerperal pyrexia

A

Endometritis

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3
Q

What are 5 causes of puerperal pyrexia

A 
Endometritis 
Ascending UTI 
Mastitis 
Perineal wound infection 
VTE
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4
Q

What are 2 antenatal RF for puerperal pyrexia

A

PROM

Anaemia

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5
Q

What are 3 factors during labour increase risk of puerperal pyrexia

A

Instrumentations
Duration
Trauma

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6
Q

How does endometritis present clinically

A

Foul-smelling discharge

Abdominal pain and tenderness to palpation

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7
Q

How does perineal wound present

A

Painful and erythematous

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8
Q

How does mastitis present

A

Painful, erythematous breast

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9
Q

What increases risk of abdominal infection

A

C-Section

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10
Q

What should be given to decrease incidence of abdominal infection in c-section

A

Cefotaxime

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11
Q

Why is co-amoxiclav not given in pregnancy

A

Increases risk of necrotitis enterocolitis in pre-term infants

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12
Q

How should endometritis be managed

A

Admit to hospital for IV Clindamycin and gentamicin

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13
Q

What antibiotics are given in endometritis

A

IV Clindamycin and gentamicin

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14
Q

What is given to treat mastitis

A

Flucloxacillin PO

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15
Q

If puerperal pyrexia unknown origin what is given

A

Metronidazole

Cefalexin

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16
Q

Explain GBS

A

Vaginal commensal in 20% women. However can be passed to foetus during vaginal delivery causing infections such as sepsis and meningitis

17
Q

What are 4RF for GBS

A

PROM
Pre-mature
Maternal Pyrexia
Previous GBS

18
Q

What does maternal pyrexia in labour indicate

A

Chorioamnionitis

19
Q

What are 4 indications for prophylactic Abx in GBS

A

Mother previous GBS Confirmed
GBS baby in previous pregnancy
Pre-mature
PROM

20
Q

What is given as prophylaxis against GBS

A

Benzylpenicllin

Obstetrics (27 decks)

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