Childbed fever: history repeats itself?

Graham, Wendy; Dancer, S.J.; Gould, I. M.; Stones, William

doi:10.1111/1471-0528.13189

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…Medical, and indeed, all healthcare students are not necessarily taught much about hygiene and its definition at college or university [11,14]. The pendulum favouring the importance of 'clean' is beginning to swing back, and faced with diminishing antibiotic options, it's not difficult to see why [60]. All healthcare practitioners should keep faith with common sense surrounding the definition of hygiene and stick with traditional values.…”

Section: Best Practice Based On Current Evidencementioning

confidence: 99%

Infection control: Evidence-based common sense

Dancer

2016

Infection, Disease & Health

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Section: Best Practice Based On Current Evidencementioning

confidence: 99%

Infection control: Evidence-based common sense

Dancer

2016

Infection, Disease & Health

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“…While recent widespread uptake of antiretrovirals in regions of high HIV prevalence has reduced the burden of sepsis associated with immunosuppression, there is a real risk of recrudescence of puerperal sepsis owing to deficient hygiene and antibiotic resistance [28]. Effective care for women with severe sepsis requires early recognition, often a challenge in previously healthy women who are much sicker than is realised.…”

Section: Sepsis Related To Labour and Deliverymentioning

confidence: 99%

Preventing deaths from complications of labour and delivery

Buchmann

Stones

Thomas

2016

Best Practice & Research Clinical Obstetrics & Gynaecol

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The process of labour and delivery remains an unnecessary and preventable cause of death for women and babies around the world. Although rates of maternal and perinatal death are declining, there are large disparities between rich and poor countries, and sub-Saharan Africa has not seen the scale of declines shown elsewhere. In many areas, maternity services remain sparse and underequipped, with insufficient and poorly trained staff. Priorities for reducing the mortality burden are provision of safe caesarean section, prevention of sepsis, and appropriate care of women in labour in line with current best practices, appropriately and affordably delivered. A concern is that largescale recourse to caesarean delivery has its own dangers and may present new dominant causes for maternal mortality. An area of current neglect is newborn care. However, innovative training methods and appropriate technologies offer opportunities for affordable and effective newborn resuscitation and follow-up management in low-income settings.

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“…Postpartum pyrexia is defined as a temperature of 38°C or more (1). It happens in any day of the first 10 days following childbirth, excluding the initial 24 hours (2).…”

Section: Introductionmentioning

confidence: 99%

“…It happens in any day of the first 10 days following childbirth, excluding the initial 24 hours (2). A common etiology for postpartum pyrexia is infection with the local spread of colonized bacteria (1). Endometritis and wound infections are among the leading causes of postpartum sepsis (3).…”

Section: Introductionmentioning

confidence: 99%

Exploring the Postpartum Pyrexia Related to Inherited Coagulopathies in a Cohort of Iranian Women

Shahbazi

Moghaddam-Banaem

2017

Women Health Bull

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Background: Postpartum pyrexia results from various causes with bacterial infection heading the list. However, there are many other possible causes such as bleeding. Congenital deficiency of the coagulation factors causes inherited coagulopathies most of which are rare. Following delivery, the reduction in coagulation factors puts these mothers at greater risk of postpartum excessive bleeding. Objectives: We aimed to assess postpartum pyrexia in bleeding disorder mothers. Methods: This study was conducted on 98 bleeding disorder patients and 199 controls. Using a standardized questionnaire, the data were collected by consulting a specialist. The subject's medical records during pregnancy and labor were also reviewed. Postpartum fever was defined as temperature > 38°C in the first 10 days after delivery excluding the first day. The data were analyzed using Chisquare statistical analysis and P < 0.05 was considered statistically significant. Results: Postpartum pyrexia was detected in 11.2% of the patients compared to 4% of the controls. The statistical analysis revealed a significantly higher incidence of postpartum fever among the coagulation disorder patients (P = 0.019). Considering the infection, our data showed that in the patient group, fever was mostly due to (unknown) reasons other than infection. Conclusions: Our results revealed that besides hemorrhagic complications in inherited bleeding disorders, postpartum fever could also be a sign of threat. Early identification and diagnosis of these threats greatly improve the childbirth outcomes in high-risk mothers.

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Childbed fever: history repeats itself?

Cited by 9 publications

References 17 publications

Infection control: Evidence-based common sense

Infection control: Evidence-based common sense

Preventing deaths from complications of labour and delivery

Exploring the Postpartum Pyrexia Related to Inherited Coagulopathies in a Cohort of Iranian Women

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