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:
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.
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.
- 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.