Postpartum pyrexia

Abstract Postpartum pyrexia is a common condition that is sometimes associated with serious maternal morbidity and occasional mortality. Most cases are due to underlying genital tract infection, but there are a wide variety of other possible causes that may not always be clinically obvious. A compre...

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Bibliographic Details
Published in:Obstetrics, gynaecology and reproductive medicine gynaecology and reproductive medicine, 2012-11, Vol.22 (11), p.327-332
Main Authors: Glackin, Kevin G, Harper, Margaret Ann
Format: Article
Language:English
Subjects:
Group A Streptococcus
Obstetrics and Gynecology
postpartum infection
postpartum pyrexia
puerperal infection
puerperal sepsis
Streptococcus pyogenes
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Summary:Abstract Postpartum pyrexia is a common condition that is sometimes associated with serious maternal morbidity and occasional mortality. Most cases are due to underlying genital tract infection, but there are a wide variety of other possible causes that may not always be clinically obvious. A comprehensive history and physical examination should always be carried out. Initial investigation should focus on thorough assessment of the genital tract, including swabs and ultrasound examination. However, a wide range of further investigations may be needed to determine the cause of the pyrexia. Use of an early warning chart for observations is important to detect early changes in a patient's condition. Serious infection can develop insidiously and patients can deteriorate very rapidly, so immediate high dose broad-spectrum intravenous antibiotic treatment without waiting for microbiology results can be lifesaving. Early recognition, consultant involvement, appropriate investigation and prompt treatment are keys to successful management.
ISSN:1751-7214
1879-3622
DOI:10.1016/j.ogrm.2012.09.001