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Puerperal Sepsis

Postpartum genital infection is a major cause of maternal death.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Puerperal Sepsis?

Puerperal sepsis is the progression of genital tract infection (endometritis, parametritis, pelvic abscess) in the postpartum period to systemic inflammatory response syndrome (SIRS) or sepsis. It accounts for 10-15% of maternal deaths worldwide.

The most common etiologies include group A streptococcus, E. coli, Klebsiella, and anaerobes. Risk factors include prolonged membrane rupture, multiple vaginal examinations, cesarean section, and low socioeconomic status.

Rapid diagnosis, fluid resuscitation, and initiation of broad-spectrum IV antibiotics are critical. Development of septic shock raises mortality to 30%.

Symptoms

Fever ≥38°C (after 24 hours postpartum)
Lower abdominal pain and uterine tenderness
Foul-smelling, purulent lochia
Tachycardia, tachypnea
Hypotension, oliguria (sepsis)
Confusion, malaise

Risk Factors

Cesarean delivery
Prolonged membrane rupture (>18 hours)
Multiple vaginal examinations
Manual removal of placenta
Obesity and diabetes
Low socioeconomic status and anemia

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When postpartum high fever occurs
  • With severe abdominal pain or uterine tenderness
  • With foul-smelling vaginal discharge
  • With tachycardia, hypotension, and weakness
  • With change in consciousness (urgent)

Treatment Methods

01
Hospitalization and hemodynamic stabilization
02
Broad-spectrum IV antibiotics (clindamycin + gentamicin + ampicillin)
03
Blood, urine, and endometrial cultures
04
Curettage if retained placenta
05
Surgical drainage or hysterectomy (in resistant cases)
06
Intensive care and sepsis-bundle implementation

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.