What Is a Puerperal Infection?

Infection during puerperium refers to the type of systemic or local infection caused by the pathogenic bacteria in the reproductive tract of a woman during childbirth or puerperium. Pregnant women are likely to cause puerperal infection due to factors such as low immune function and trauma during childbirth. Infant puerperal infection is a pathogenic infection of the reproductive tract during childbirth and puerperium, causing local and systemic inflammatory changes. Infant puerperal infection is one of the leading causes of maternal death.

Infection during puerperium refers to the type of systemic or local infection caused by the pathogenic bacteria in the reproductive tract of a woman during childbirth or puerperium. Pregnant women are likely to cause puerperal infection due to factors such as low immune function and trauma during childbirth. Infant puerperal infection is a pathogenic infection of the reproductive tract during childbirth and puerperium, causing local and systemic inflammatory changes. Infant puerperal infection is one of the leading causes of maternal death.

Chinese name

Puerperal infection

Foreign name

puerperalin fection

Causes of puerperal infection

The main pathogenic bacteria in puerperium infection are escherichia coli, followed by staphylococcus aureus and staphylococcus epidermidis. Among them, escherichia coli and staphylococcus epidermidis are normal human flora, and the immune system and resistance of mothers are reduced after delivery. , Imbalance of normal flora, reduced vaginal defense and self-cleaning ability may cause infection. Complications of pregnancy, genital tract inflammation, midwifery, prenatal anemia, postpartum hemorrhage, low hemoglobin levels, prolonged labor, malnutrition, soft birth canal injury, and prolonged bed rest are all closely related to the occurrence of puerperal infections.

Postpartum infection check

(1) Body temperature> 37.8 , white blood cell count> 10 × 10 / L.

(2) With obvious uterine tenderness, malodor, and anal pain.

(3) Bacterial examination of uterine secretions is positive.

Principles of treating puerperal infection

In order to reduce the risk of puerperium infection, first of all, we must attach importance to the control of pregnancy complications. Before conception, we must actively treat the primary disease and reproductive tract inflammation to adjust the physical state. Second, we must balance the diet before pregnancy to ensure balanced nutrition and avoid malnutrition and anemia. At the same time, strengthen health care during pregnancy, pay attention to health education for pregnant women, pay attention to hygiene during pregnancy, and do a good job in propagating eugenics. Third, inform pregnant women of relevant precautions before delivery, including avoiding baths and sexual intercourse 8 weeks before delivery, and strengthen prenatal care. Prepare; Fourth, closely monitor the labor process during delivery to avoid prolonged labor, reduce the risk of repeated postpartum bleeding, and strictly check the condition of the soft birth canal, placenta, and fetal membranes. Those with soft birth canal injury should be sutured immediately. Aseptic operation, disinfection of the delivery room. Fifth, pay attention to the perineal care of the patient after surgery, keep the vulva and incision clean and dry, and monitor the maternal infection closely after delivery. Test results reasonably apply antibacterial drugs; sixth, encourage early postpartum births Periodic out-of-bed activities reduce bedtime after surgery, promote uterine rehabilitation, and prevent puerperal infection.