Postpartum fever is the measurement of body temperature
higher than 38 degrees at least two times after 24 hours after delivery
(postpartum). There may be causes such as breast fullness, milk fever, breast
inflammation (mastitis), endometritis (intrauterine infection), urinary tract
infection. Ongoing fever despite antibiotic therapy suggests the presence of
conditions such as placenta retention, pelvic abscess, wound infection, septic
pelvic thrombophlebitis (vascular inflammation). Infection that occurs at
incisions made during normal delivery or cesarean can also cause fever and
discharge. Infection occurs after 1-8% of all births. Antibiotics are used in
the treatment.
Symptoms:
Although it varies depending on the location of the
infection, the most common and stimulating infection is fever. High fever
requires an urgent call to a doctor, considering it as a postpartum infection
alert.
Conditions
that pose a risk for postpartum infection:
- Male membrane rupture
- To give birth by cesarean
- Diabetes
- Not eating well
- Obesity
POSTPARTUM
ENDOMETRY
Endometritis is the most common cause of postpartum fever and
postpartum fever. It is a bacterial infection. Endometritis is an inflammation
of the inner layer of the uterus. There may be pain and tenderness in the lower
abdomen. May be accompanied by foul-smelling discharge. The most common
causative agents are group B streptococci (early stage) and chlamydia (late
stage). It is more common in deliveries by cesarean than in normal delivery.
Postpartum endometritis usually develops a week after birth.
SEPTIC PELVIC
THROMBOPHLEBITIS (SPT)
It is the development of thrombophleitis in the veins in the
pelvis after birth. It is one of the rare causes of postpartum fever. It can
lead to pulmonary embolism. Septic pelvic thrombophlebitis is most common in
the right ovarian vein (vena ovarica dextra). Infection agents can be
streptococci, anaerobic bacteria, enterococci. It is more common in cesarean
births than in normal birth.
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