PUERPERAL SEPSIS
Puerperal sepsis is an infection of the genital tract by organism occurring within 14 and 21 days after childbirth or abortion.This is caused by 2 types of organisms. They are:
Exogenous Organism:
In this type the causative organisms are Streptococcus fecalis that lives in the anus and in the perineum. Anaerobic streptococci and clostridium welchi which are found in the vagina. These are responsible for the infection.
Endogenous Organism:
This comes from sources outside the body and are transmitted by another person.The source of infection can be midwife,doctor and other patients or visitors. Air and dust also cause infection to the patient.
SIGNS AND SYMPTOMS OF PUERPERAL SEPSIS:
- Fever which occurs within 24 hours or more is the first sign.
- Pulse rate is increased.
- The uterus is sub-involuted,tender and softer than usual.
- The vaginal discharge after delivery is foul smelling.
- Local pain and swelling of the infected suture line.
- Headache,insomnia and anorexia.
In severe sepsis the following are the symptoms:
- Constant pelvic pain.
- Rise in temperature with increased pulse rate.
- Lower abdominal pain.
- Intense pain which worsens the condition of the patients.
- Severe infection of the fallopian tubules.
- Collection of pus in the pouch of doughles.
Treatment for Puerperal Sepsis:
The treatment of puerperal sepsis is behind one technique that is antiseptic.The following measures have to be followed:
- The patient should be isolated.
- The room should be well ventilated.
- Intake of fluids.
- The patient should be given proper rest.
- Mild laxatives can be given.
- Vital signs should be noted like temperature,pulse and respiration.
- Regular bathing or sponging to reduce fever and increase comfort of the mother.
- Localized infection on the perineum should be treated with aseptic dressing.
- The vaginal pads must be changed frequently.
- Antibiotics should be administered after the advise of a Doctor.
NOTE:
- In case of severe infection,the baby should be removed from the side of the mother to prevent cross infection.
- Effort and care should be taken to prevent cross infection.
Eseoghene Ovwushare said on April 29, 2011
LUTH should take note and learn. Information can be gotten from the net. I lost my sister due to unefective treatment of peurperal sepsis.
AFOLABI OMOLOLA said on May 23, 2011
WHY ISOLATION?
debby tanikrey said on September 4, 2011
what is the treatment puerperal sepsis?
Comfort udoh said on September 14, 2011
What are the antibiotics given 2 a woman with pueperal sepsis
Martin g, said on October 16, 2011
What is the treatment
Zukiswa tricia said on October 29, 2011
Pueparal sepsis is the leading cause of death to woman in the northern cape,wht if the suture is open will it cause infection? And treatment for it or does it need to be sutured again or just get antibiotics
ngangi said on October 31, 2011
Don't you think poor management of 4th stage of labor is a major cause of puerperal sepsis?
hammod said on November 4, 2011
treatment of puerperal sepsis is penicillin or erythromycin
Abdullah Mohammed said on November 15, 2011
Informative article
ygosearch said on November 16, 2011
thank you.
@arijit_kol said on November 16, 2011
This is a nice post
Adeagbo funmilayo esther said on June 21, 2012
Does pueperal sepsis also affect mothers with normal delivery? And why do we need to isolate and also what are those safety precautions that both the health workers and family member need to follow. Thanks
Joseph Achar said on June 21, 2012
Puerperal sepsis is one of the bacteria infection that women encounter after delivery, it should be treated fast to avoid further complications