Post Date July, 13 2023
Puerperal infection is a serious disease that occurs in women after childbirth, and it requires our attention, especially when there are abnormal manifestations. It is necessary to immediately undergo reasonable examinations.
What is a puerperal infection
Puerperal infection refers to local or systemic infection caused by pathogens invading the reproductive tract during the postpartum period. The so-called puerperal disease refers to measuring body temperature four times a day with an oral thermometer within 10 days after 24 hours, with an interval of 4 hours between each measurement. Among them, the temperature reaches or exceeds 38 ℃ twice. The puerperal disease rate is mainly caused by Postpartum infections, and also by Urinary system infection, respiratory system infection, Mastitis, etc.
Puerperal infection is a common puerperal complication, its incidence rate is about 6%, especially in recent years, with the increase of caesarean section rate, the incidence rate of Postpartum infections is also increasing. So far, Postpartum infections still poses a serious threat to pregnant women. Postpartum infections, Postpartum bleeding, pregnancy with heart disease and severe pregnancy induced hypertension are still the four major causes of Maternal death.
Symptoms of puerperal infection
1. Acute vulva, vagina and Cervicitis: perineum injury during delivery or infection caused by surgical delivery. The burning, pain and purulent secretion stimulate the urethral orifice, causing pain in urination, frequency of urination, wound infection line sinking into swollen tissue, and pinhole purulent. Vaginal and cervical infections manifest as mucosal congestion ulcers, increased purulent secretions, and symptoms caused by cervical lacerations are often not obvious, reaching depths up to the top of the dome and the broad ligament. If not sutured in a timely manner, the pathogen can directly rise or lymphatic tissue can spread to cause pelvic connective tissue inflammation.
2. Uterine infection: postpartum uterine infection includes acute Endometritis and myometritis. Endometritis is called when bacteria invade the stripped surface of the placenta and diffuse to the stripped surface. Infection invades the myometrium, which is called myometritis endometritis with myometritis. Severe cases may experience chills, high fever, headache, fast heart rate, and increased white blood cells. The degree of lower abdominal tenderness varies, and there may not be many lochia, which can lead to misdiagnosis.
3. Acute pelvic connective tissue inflammation and acute salpingitis: the pathogen reaches the Parametrium along the parauterine lymph or blood, and acute inflammatory reaction occurs, forming inflammatory mass and affecting the mesosalpinx and tube wall. If it invades the entire pelvic cavity, it can also form a "frozen pelvis". Diplococcus gonorrhoeae ascends along the mucosa of the reproductive tract and forms an abscess between the fallopian tube and the pelvic and abdominal cavity. After that, high fever can persist.
