What are the causes of puerperal fever?
Endometritis - Inflammation of the uterus
Pelvic thrombophlebitis - Clot blockage and inflammation of the uterine vessels
Breast engorgement - Swelling of the breast filled with milk
Mastitis - Breast swelling inflammation
What is endometritis?
It is the primary inflammation of the uterus and surrounding tissues. It is the most common cause of puerperal fever.
What are the signs and symptoms?
Fever exceeding 38°
Increased uterine sensitivity
Bad odor and increase in postpartum discharge
What is the treatment?
If parts of the pregnancy remain in the uterus, they are cleaned by revision curettage
Initiation of antibiotic treatment
Initiation of painkillers and antipyretics
What is pelvic thrombophlebitis?
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Endometritis, inflammation of the uterus, can sometimes extend to the walls of the uterus. For this reason, inflammation and blood clots occur in the uterine vessels.
When is thrombophlebitis considered?
If the patient does not respond to antibiotics administered for signs of infection, thrombophlebitis is considered.
What is the treatment? ?
Drugs that dissolve blood clots are added to antibiotic treatment.
What is breast engorgement?
If the baby cannot absorb the milk produced in the breast sufficiently and milk accumulates in the breast, then swelling due to milk. As the lymphatic channels of the breast are blocked, pain and tenderness in both breasts and a slight increase in fever are observed.
What is the treatment of breast engorgement?
Milking the breasts with the help of a pump
Pain reliever and antipyretic medication.
Wrapping the breasts after breastfeeding and avoiding handling
What is mastitis?
It is a single or bilateral inflammation of the breast. If breast care is not done regularly after breastfeeding, the ground is prepared for inflammation.
What is the treatment?
Do not allow the breast to swell with milk, breastfeed frequently or empty it with a pump
Start antibiotic treatment
If an abscess occurs, it is surgically drained
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