OB ATI Chapter 21 - Postpartum Infections
OB ATI Chapter 21 - Postpartum Infections What is a postpartum infection? - Fever above 38 C or 100.4 F for 2 consecutive days, first 10 days of postpartum period What an endometritis? - Uterine infection When does endometritis usually begin? - 2nd to 5th postpartum day What are the sites of wound infection? - Cesarean incisions, episiotomies, lacerations, trauma wounds What is mastitis? What is the most common organism? - Infection of the breasts involving interlobular connective tissue (usu. unilateral) Most common organism: Staphylococcus aureus What are risk factors of Infection? - Cervical dilation Well-supplied exposed blood vessels Wounds Alkalinity of amniotic fluid, blood, and lochia, decreasing acidity of vaginal secretions What are risk factors for endometritis? - Cesarean birth Retained placental fragments Prolonged rupture of membranes Chorioamnionitis Internal fetal/uterine pressure monitoring Multiple vaginal exams Prolonged labor Hemorrhage Risk factors for mastitis? - Milk stasis Nipple trauma and cracked/fissured nipples Poor breastfeeding Decrease in breastfeeding frequency Poor hygeine and inadequate handwashing What are s/s of infections? - Flu-like: body ache, chills, fever, malaise anorexia, nausea Temp above 38C or 100.4F Tachycardia ..............
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