Puerperal Sepsis Flashcards
1
Q
Causes of puerperal sepsis?
A
Endometriosis Wound infection Perineal infection Chest n=infection Thrombophlebitis Breast abscess
2
Q
RFs for endometritis?
A
Prolonged labour Prolonged ROM Multiple vaginal exams Retained placental tissue C section, more complex deliveries e.g. forceps
3
Q
Organisms involved in endometritis?
A
GBS
Staph
E coli
Anaerobes
4
Q
What can endometritis progress to?
A
Salpingitis
Pelvic infection/abscess
Peritonitis
5
Q
On exam of patient with endometritis?
A
Fever Tachycardia Lower abdo tenderness on palpation Secondary PPH maybe Foul smelling vaginal discharge Bleeding Cervical excitation
