Puerperial Pyrexia and its causes

Puerperal Pyrexia : Short Summary and Causes
Peurperium
Puerperium is a period following child birth during which body tissues especially the pelvic organs revert back approximately to pre-pregnant state both anatomically and physiologically. Normally, it lasts for 6 weeks after delivery.

What is puerperal pyrexia?
also called childbed fever, is a rise of temperature reaching 100.4 degree Fahrenheit or 38 degree celcius measured orally on 2 separate occasions at 24 hours apart ( excluding first 24 hours) within first 10 days following delivery is called puerperal pyrexia.

Causes of fever during Peurperium
Puerperal Sepsis : Most common cause. It is an infection of genital tract which occurs as a complication of delivery. Peuperal pyrexia is considered to be due to genital tract infection unless proved otherwise.
Urinary tract infection
Cystitis
pyelonephritis
Mastitis : breast infection
Infection of cesarean section wound
Pulmonary infection
Septic pelvic thrombophlebitis
Recrudescence of malaria or pulmonary tuberculosis
Unknown causes


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Uterovaginal Prolapse: Types and Causes

Uterovaginal Prolapse Is a form of Hernia in which the uterus and Vagina protrudes down out of their normal confinement.

Types
I. Vaginal
a. Anterior wall
-Cystocele( Uriary bladder prolapse)
-Urethrocele( Urethra)
-Combined
b.Posterior wall
-Relaxed perinium
-Rectocele
-Vault prolapse

II. Uterine
Uterovaginal
Congenital

Causes Of Prolapse

Preciptating factors
I. Acquired
a. Overstretching of mackenrodth and Uterosacral Ligaments due to
Premature bear down
Application of forceps when cervix not fully dilated
down pressure on fundus to deliver placents
Precipitate labour
b. Overstretching of endopelvic fascial sheath of vagina
Degree of distension during delivery and duration
c.Subinvolution
ill nourished mother
early resumption of work
perisitent overfilling of bladder
repeated childbirth
d.Over stretching of perinium

Congenital
Spina Bifida occulta
Neurological disorders.

II. Aggravating factors.
a Increased abd pressure.
cough, constipation
b. bulky uterus, fibroid.
c.post menopausal atrophy
d.Asthenia and undernutrition



Overstretchin of perinium