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Flashcards in Postpartum Care Deck (35)
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31

Puerperal Morbidity: 1-8%

 Morbid temperature:
38 degrees Celsius (100.4 F) or greater, after the first 24 hours PP, on any 2 consecutive
days out of the first 10 PP days

1. Endometritis
2. UTI
3. Thrombophlebitis
4. Mastitis

32

Endometritis

 More common in C/S
Lower abdominal pain
Foul-smelling lochia
Treated with oral antibiotics for mild cases; IV for moderate/severe cases
Use of broad-spectrum antibiotics
Rapid response to medications typically

33

UTI

Same S/S of any UTI (urgency, frequency, dysuria)
Also flank pain if pyelonephritis (CVA tenderness)
Usually from bowel contaminants
Often were catheterized during labor
Diagnose with urine C/S (straight cath.)
Treat with antibiotics

34

Thrombophlebitis

Blood is hypercoagulable due to increased clotting factors
Venous stasis also a factor
Many patients have varicose veins
 May have + Homan’s Sign
Red streaks on leg
Warmth, edema of leg
Treated with heat, elevation, NSAIDs, anticoagulants

35

Mastitis

Frequently unilateral
Tender, engorged, erythematous breast
Malaise (feel “flu-like”)
Usually due to S. aureus
Treatment: antibiotics, rest, fluids, Tylenol, empty affected breast q3h, ice, breast support
Can develop into breast abscess (surgical drainage)