Fever During and After Childbirth

Fever During and After Childbirth
Advances in Maternal and Neonatal Health

Session Objectives

* Discuss best practices for management of infection during and after childbirth, especially:
o Amnionitis
o Metritis
* Describe strategies for prevention of infection
* Distinguish between prophylactic and therapeutic use of antibiotics

Providing Prophylactic Antibiotics
Providing Prophylactic Antibiotics for Cesarean Section: Objective and Design
Providing Prophylactic Antibiotics for Cesarean Section: Results
Providing Therapeutic Antibiotics
Principles of Treatment with Antibiotics

* Adequate dosing
* Adequate duration
* Continued re-evaluation of the patient
Fever During Pregnancy and Labor: Differential Diagnosis

* Cystitis
* Acute pyelonephritis
* Septic abortion
* Amnionitis
* Pneumonia
* Malaria
* Typhoid
* Hepatitis

Acute Pyelonephritis
Management of Acute Pyelonephritis
Subsequent Prophylaxis
Septic Abortion
Management of Septic Abortion
Amnionitis: Antibiotics
Management of Amnionitis
Aminoglycosides During Pregnancy: Objective and Design
Fever During and After Childbirth
Obstetric and Medical Factors Affecting Postpartum Sepsis
Health Service Factors Affecting Postpartum Sepsis
General Management
Management of Metritis
Antibiotics for Metritis
Managing Metritis: Objective and Design
Managing Metritis: Results
Septic Shock
Prevention Strategies

Three Cleans:

* Clean hands
* Clean surface
* Clean blade

Plus:

* Clean tie
* Clean perineum
* Clean nails

Summary
Fever During and After Childbirth.ppt
References