Managment of Puerperal sepsis :
Clinical features
Symptoms
1. Fever,
2.generalized malaise
3.headache,
4. Antibiotics:should be culture sensitivity
Clinical features
Symptoms
1. Fever,
2.generalized malaise
3.headache,
4. The local wound becomes red and swollen
5.foul smellning per vaginal dicharge
Signs:
1.high rise of temperature, often with chills and rigor,
2. Pulse rate is rapid, out of proportion to temperature,
3.Often there is breathlessness, coughs, abdominal pain and dysuria,
4. Lochia may be scanty and odorless
5.Uterus may be subinvoluted, tender and
softer.
Investigation:
Blood for TC DC ESR HC%
2.Usg of Pelvic cavity
3.Urine for R/M/E
4.Culture of Blood
Treatment
A.General care: (
1. Isolation of the patient
2Fluid maintained by intravenous infusion (IV),
3.Anemia is corrected by blood transfusion,
Inj -Clindamycin
Inj - Cephradin
Inj -Metranidazole
B.Surgical Care
1.Perineal wound—The stitches of the perineal wound removed
2.Pelvic abscess should be drained
Ref by Dutta Page 500
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