What should I do about postpartum fever
Release time : 04/25/2025 09:30:01
After childbirth, the uterus gradually returns to its pre-pregnancy state, taking approximately 42 days to do so, a period known as the postpartum period.
The period following delivery, when the placenta is removed, is known as the puerperium.
Postpartum fever is a disease caused by pathogens invading the genital organs during childbirth, known as postpartum infection.
What should be done for postpartum fever? According to traditional Chinese medicine, postpartum fever is caused by the invasion of pathogenic qi, blood stasis, and blood deficiency.
How to treat it, we should know.
1. During the acute period of puerperium, treatment such as anti-infection and anti-fever should be given immediately and nutritional support should be provided to avoid water and electrolyte disorders. Patients with severe symptoms or anemia should receive small amounts of fresh blood or plasma multiple times to enhance their resistance.
2. When the condition is stable, the cause of puerperal fever should be ascertained and symptomatic treatment should be given promptly. If the wound suppurates and infects or pelvic abscess occurs, incision and drainage should be done promptly.
For patients with residual placenta and membranes, after the infection is controlled and the body temperature drops, the residue in the uterus should be removed in time.
For patients with severe infections who have no effect after treatment or whose symptoms have worsened, bleeding occurs and cannot be controlled, hysterectomy should be performed promptly.
After the condition stabilizes, traditional Chinese medicine can be used to regulate the body and enhance the body's immunity.
3. Nutrition should be strengthened. If there is severe anemia or weakness, blood can be transfused to increase the body's resistance. Medical treatment can be used or traditional Chinese medicine treatment can be used.
If a woman develops fever symptoms after childbirth, she should carefully examine the whole body, abdomen, pelvis and perineum to determine what part of the infection and the degree of the infection, and make a diagnosis. 1. Systemic and local physical examination: Routine hematuria tests are performed to rule out related diseases and wound infections that cause puerperal fever.
C-reactive protein in serum is tested for early diagnosis.
2. Identifying the pathogen: Identification of the pathogen is a critical factor in the diagnosis and treatment of puerperal infections.
Can be carried out: (1) Pathogen culture. After vaginal and cervical disinfection, use cotton swabs to collect uterine secretions, and conduct dual culture of anaerobic bacteria and aerobic bacteria.
(2) If the aerobic bacterial culture result is negative and a large number of bacteria appear in the smear, it is suspected that the bacterial infection is caused by aerobic bacteria.
(3) Special antibody tests.
3. Determine the lesion site: Through general examination, multiple joint diagnoses are performed. Sometimes there are thickened fallopian tubes or abscess masses, and detection methods such as ultrasound, color ultrasound, and magnetic resonance are used to make localized and qualitative diagnosis.
Causes of puerperal fever Since puerperal fever is very unfavorable to the health of female friends who have already given birth.
So, what are the causes of puerperal fever? The specific introduction for everyone is as follows: 1. Infection with evil poison: When a female friend gives birth, it will inevitably cause the woman's blood chamber to open. At this time, if the delivery is not careful or the post-care care is not clean enough, evil poison will take advantage of the situation and invade the woman's uterus. But the body itself has some antiviral cells. At this time, the antiviral cells will fight against the invading virus, which will cause fever in the human body.
2. Exogenous diseases, because the qi and blood after production are very deficient, the human body will develop fever due to the deficiency of both qi and blood. This is an early warning of low immunity and needs to be replenished as soon as possible.
In this case, it can also lead to fever.
3. Blood stasis. Many pregnant women will have blood accumulation after giving birth to a child. The accumulation will inevitably lead to a lack of camp and defense throughout the body, which will lead to depression and fever.
Blood deficiency, excessive blood loss during and after production, will lead to sudden yin blood deficiency, so it can also lead to fever.
If the mother develops symptoms of fever, she should carefully examine the whole body and inquire in detail about the delivery process and medical history to determine the site and severity of the infection.
If fever occurs, the following examinations should be performed: 1. Gynecological examination shows that soft birth canal damage may lead to local redness or suppuration.
Uterine tenderness, adnexal thickening with tenderness, or the presence of inflammatory masses.
2. Auxiliary examinations,(1) Blood routine examination, white blood cell count and neutrophil count were increased, and serum C-reactive protein was increased.
(2) The presence of endometrial secretions, abscesses, or pus from the posterior cul-de-sac can be detected using methods such as culture of pathogens in the cul-de-sac, blood culture, or anaerobic bacterial culture.
Additionally, the detection of specific antibodies and pathogen antigens can definitively identify the causative agents.
(3) If B-ultrasound reveals a fluid-filled area in the pelvic cavity, it indicates inflammation or abscess.
CT and magnetic resonance imaging, among other diagnostic tests, can accurately localize and qualitatively diagnose inflammatory masses and abscesses resulting from infections.
Prevention of postpartum fever: Postpartum fever is a common disease. Pregnant women should pay close attention to it.
What are the preventive measures for postpartum fever? 1. The prognosis of postpartum fever varies depending on the underlying cause.
If it is caused by blood deficiency, blood stasis and external pathogenic factors, the fever will soon be cured after active and reasonable effective treatment.
If the fever is caused by an infection with pathogenic evil, if it is not treated in time, it may lead to heat entering the blood, and even more serious, it may cause deep febrile convulsions and collapse that endanger life.
2. Prevention of postpartum fever: Strengthen prenatal care, ensure sufficient rest; pay attention to balanced nutrition and ensure ample hydration; enhance physical fitness, maintain cleanliness, and keep wounds dry; avoid sexual activity, and do not self-medicate or discontinue medication.
Strengthen public health campaigns during pregnancy, and after giving birth, relax your mind. Avoid sexual intercourse and baths in the bathtub for two months before labor begins.
If you feel unwell, treat it promptly.
It is important to note that frequent changing of sanitary napkins can help to reduce the occurrence of infections.
Treatment of chronic conditions such as vulvitis, vaginitis, and cervicitis in a timely manner.
During labor, strict control is essential, and sterile procedures must be adhered to to prevent premature rupture of membranes, perineal injury, and postpartum hemorrhage.
Postpartum, it is beneficial to adopt a semi-recumbent position to facilitate the expulsion of lochia.
Prevention is better than cure, for any occurrences of birth canal contamination, premature rupture of membranes, obstetric surgery, and postpartum hemorrhage, antibiotics or traditional Chinese medicine can be used to prevent the occurrence of infection.
In conclusion, it is imperative for postpartum women to pay attention to fever after childbirth, as neglecting this could lead to the development of gynecological conditions. Therefore, we must prioritize and cherish our health.
The medical information provided in this text is for reference only.
In cases of discomfort, it is recommended to seek medical attention immediately for accurate diagnosis and treatment.