Post Date November, 16 2024
Puerperal infection is a disease caused by pathogen infection during female childbirth, and its impact and harm to patients are particularly serious. We should pay attention to its severity and actively seek reasonable treatment.
Puerperal infection hazards
1. Birth tract infection: During delivery, there is perineal laceration or infection of the lateral incision wound, with visible redness, swelling, and hardening of the wound, as well as purulent needle hole infection. Vaginal infection can result in redness and swelling of the vaginal mucosa, abundant secretions, and a foul odor. Cervical infection can cause redness and swelling of the cervix, purulent secretions, and unpleasant odors
2. Pelvic infection: The endometrium is the most affected area, and pathogens can invade the uterine fibroids through the endometrium. Maternal resistance is weak, and pathogenic bacteria have strong virulence. They can continue to spread to the connective tissue near the uterus, forming pelvic connective tissue inflammation, and even acute pelvic peritonitis. In severe cases, pelvic abscess can form. The symptoms show obvious abdominal pain, high fever, and chills.
3. Thrombophlebitis: Pelvic thrombophlebitis and lower limb thrombophlebitis. Thrombophlebitis in the pelvic cavity can expand upwards and affect the ovarian vein, left renal vein, and inferior vena cava. Symptoms can include chills, high fever, and abdominal pain. The symptoms of lower limb thrombophlebitis indicate limb pain, swelling, and fair skin. If the suppository falls off, it can be stuck in the lungs, kidneys, and brain, causing serious consequences.
4. Sepsis and sepsis: Patients suffer from persistent high fever and chills, with obvious symptoms of systemic poisoning. They may experience functional damage to organs such as the heart, brain, and kidneys, coma, shock, and in severe cases, life-threatening.
Treatment of puerperal infections
1. General treatment: Take a semi recumbent position, expel lochia, and limit inflammation to the pelvic area. Pay attention to nutrition and rest. If necessary, administer fluids or a small amount of multiple transfusions to correct water electrolyte imbalance.
2. Antibiotics: Penicillin, streptomycin, and metronidazole are commonly used, but the treatment effect is not significant. They can be changed to Qingda and Kanamycin. If the condition is severe, cervical and uterine secretions should be coated to determine the type of pathogenic bacteria. Based on secretions, pus, and blood culture and drug sensitivity test results, effective antibiotics should be selected. If the body temperature continues to decrease after sufficient antibiotic treatment, the possibility of pelvic abscess and pelvic thrombophlebitis should be considered for further examination.
