Puerperal Pyrexia: A Review. Part I

Maharaj, Dushyant

doi:10.1097/01.ogx.0000265998.40912.5e

Cited by 145 publications

(137 citation statements)

References 33 publications

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“…However, puerperal infections are still reported as one of the major causes of maternal death, accounting for up to 15% of deaths (2)(3)(4). Puerperal sepsis is a polymicrobial infection of the genital tract caused by bacteria that normally inhabit the birth canal (5). In contrast, the term puerperal infection is used for genital tract infection along with other generalized infections that are incidental to pregnancy, such as tuberculosis, malaria, H1N1 influenza, and other endemic infections, including scrub typhus and dengue hemorrhagic fever (5).…”

Section: Introductionmentioning

confidence: 99%

Changing perspectives of infectious causes of maternal mortality

Halder

Vijayselvi

Jose

2015

J Turkish German Gynecol Assoc

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Objective: Infections significantly contribute to maternal mortality. There is a perceived change in the spectrum of such infections. This study aims to estimate the contribution of various types of infections to maternal mortality. Material and Methods:We retrospectively reviewed records of maternal death cases that took place between 2003 and 2012 in the Christian Medical College, Vellore, India. The International Classification of Diseases-Maternal Mortality was used to classify the causes of deaths and World Health Organization near-miss criteria were used to identify organ dysfunction that occurred before death. Infections during pregnancy were divided into three groups, i.e., pregnancy-related infections, pregnancy-unrelated infections, and nosocomial infections. Results:In this study, 32.53% of maternal deaths were because of some type of infection as the primary cause. The contribution of pregnancyrelated infections was comparable with that of pregnancy-unrelated infections (16.03% vs. 16.50%). Metritis with pelvic cellulitis, septic abortions, tuberculosis, malaria, scrub typhus, and H 1 N 1 influenza (influenza A virus subtype) were among the most commonly encountered causes of maternal death due to infections. Another 7.07% of cases developed severe systemic infection during the course of illness as nosocomial infection. A significant majority of mothers were below 30 years of age, were primiparae, had advanced gestational age, and had operative delivery. Cardiovascular and respiratory system dysfunctions were the most common organ dysfunctions encountered. Conclusion:The contribution of pregnancy-unrelated infections to maternal deaths is significant. Control of these diverse community-acquired infections holds the key to a reduction in maternal mortality along with the promotion of clean birthing practices. Nosocomial infections should not be underestimated as a contributor to maternal mortality. (J Turk Ger Gynecol Assoc 2015; 16: 208-13) Keywords: Infections, maternal mortality, organ dysfunction Received: 03 July, 2015 Accepted: 14 October, 2015 Changing perspectives of infectious causes of maternal mortality

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Section: Introductionmentioning

confidence: 99%

Changing perspectives of infectious causes of maternal mortality

Halder

Vijayselvi

Jose

2015

J Turkish German Gynecol Assoc

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“…Then bacteria are able to reproduce and reach numbers in excess of 10 5 per milliliter of amniotic fluid 27 . Risk factors for the development of maternal sepsis include home birth in unhygienic conditions, low socioeconomic status, poor nutrition, primiparity, anaemia, prolonged rupture of membranes, prolonged labour, multiple vaginal examinations in labour (more than five), caesarean section, multiple pregnancy, artificial reproductive techniques, overweight and obstetrical manoeuvres 14,28 .…”

Section: Risk Factors and Routes Of Infection In Pregnancymentioning

confidence: 99%

Septic Shock in Obstetrics and Gynecology

Kaponis¹,

Filindris²,

Decavalas³

2012

Severe Sepsis and Septic Shock - Understanding a Serious Killer

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“…Some of patient factors predisposing to the development of puerperal infection include home birth in unhygienic conditions, prolonged labor with or without rupture of membranes, multiple vaginal examinations in labor, obstetrical maneuvers, retained secundines within the uterus and postpartum hemorrhage (3). In addition, it has been shown that pre-existing medical problems, febrile illness or taking antibiotics during 2 weeks prior to presentation, operative vaginal delivery and cesarean section may be associated with sever puerperal infections (5).…”

Section: Introductionmentioning

confidence: 99%

“…Puerperal sepsis causes at least 75000 maternal deaths every year, mostly in low-income countries (4). Postpartum infections may also result in maternal morbidities which includes a wide range of maternal complications such as septicemia, endotoxic shock, peritonitis or abscess formation leading to surgery and compromised future fertility (3). For each maternal death associated with puerperal infections, around 50 women experience life-threatening morbidity from sepsis (5).…”

Section: Introductionmentioning

confidence: 99%

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Infection Control Practices and Program Management in Labor and Delivery Units: A Cross-Sectional Study From Iran

Tabatabaei

Pour

2016

Int J Infect

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Background: Although Iranian women increasingly attend hospitals for childbirth, no information is available on programs and practices related to infection control in labor and delivery units. Objectives: This study aims to investigate infection control program management and midwives' practices in labor and delivery units. Patients and Methods:We analyzed data related to infection control program management and also practices performed by 88 midwives in four labor and delivery units in public hospitals in Zahedan, southeast Iran. Results:The evaluation scores for all aspects of infection control were suboptimal; infection control program management 38.1% to 71.4%, healthcare workers post-exposure measures 58.5% to 92.7%, medical waste management 73.9% to 87.0% and infection control related standard infrastructures and equipments 55.9% to 82.8%. The midwives mean scores for attending infection control training courses and hand hygiene were less than 40% of the maximum score, but the mean scores for normal vaginal deliveries scrub, and equipments and instruments hygiene practices were generally above 70%. Conclusions:The results of this study revealed a need for development of appropriate policies and protocols for infection control practices in labor and delivery units and also midwives training on clean delivery practices.

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Puerperal Pyrexia: A Review. Part I

Cited by 145 publications

References 33 publications

Changing perspectives of infectious causes of maternal mortality

Changing perspectives of infectious causes of maternal mortality

Septic Shock in Obstetrics and Gynecology

Infection Control Practices and Program Management in Labor and Delivery Units: A Cross-Sectional Study From Iran

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