Covers infections of the uterus after delivery, including the bacteria involved, risk factors such as anaemia, bacterial vaginosis, C-section and postpartum haemorrhage, and symptoms like lower abdominal pain, fever and foul discharge. It names endometritis, myometritis and parametritis as forms of uterine infection. It then describes postpartum sepsis and how infection spreads from the placental site through veins and lymphatics, leading to peritonitis, septic emboli and shock with DIC, with a note on group A streptococcus.
Inside: 1 section · 9 flashcards · 1 min
Topic 113 of 138 in the MU Sofia syllabus for Clinical Pathology (Medicine, Year 4). The free AceMed note covers it in 1 section, about 129 words (1 min of reading), with 9 flashcards.
In this note
Postpartum uterine infection. Postpartum sepsis. Pathomorphological characteristics of organ-site damage
Postpartum uterine infection. Postpartum sepsis. Pathomorphological characteristics of organ-site damage
Postpartum uterine infection
Infections that develop after delivery of baby in uterus
Bacteria that live in the vagina can cause infection after delivery (commonly group B strep), risk factors include anemia, bacterial vaginosis, internal monitoring of the fetus, C-section, postpartum hemorrhage
Symptoms include lower abdominal pain, fever and foul smelling discharge
Uterine infection can be endometritis, myometritis or parametritis
Can develop and cause complication of sepsis
Postpartum sepsis
This is sepsis that develops after childbirth (see sepsis).
Remember: in puerperal sepsis infection spreads from the raw placental site through uterine veins and lymphatics: suppurative endometritis and myometritis, septic thrombophlebitis of pelvic veins, peritonitis and septic emboli to the lungs, then shock with DIC. Group A streptococcus (S. pyogenes) caused historic 'childbed fever' and is still the most feared cause.
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