Question

7. What is puerperal sepsis and what are the risk factors for the postpartum woman? 8. Name the signs and symptoms of mastitis. 9. Compare involution with subinvolution. 10. List the typical signs of subinvolution. notler

Answer 1

Ans:- 7.

Puerperal sepsis:- It is defined as the infection of genital tract occurring at any time between the onset of rupture of membranes or labor and the 42nd day postpartum in which two or more symptoms are present:- fever and pelvic pain.

- Risk factors of postpartum women to develop infection are as follows:-

1. Prolonged labor,

2. Prolonged ruptured membranes,

3. Multiple vigal exams,

4 . Cesearen section,

5. Episiotomy,

6. Anemia,

7. Internal fetal monitoring,

8. Use of instruments during delivery,

9. Post partum haemorrhage.

8.

Sign and symptoms of mastitis are as follows:-

- Breast swelling,

- pain and burning sensation during breast feeding,

- flu like symptoms :- muscle ache, headache, fatigue , chills,

- Fever ( rapid elevation in temperature) 103- 104° f,

- skin redness,

- Thickening of breast tissues ,

- feeling warmth in the breast.

9.

Comparison of involution with subinvolution:-

-Involution:- Involution is the process by which uterus is transformed from pregnant state to its pre-pregnant state. It is a physiological process occurring after parturation.

-Subinvolution:- Subinvolution is a medical condition in which after childbirth, uterus doesn't return to its normal state.

10.

Typical signs of the subinvolution are as follows:-

- fundal height greater than expected,

- presistance of lochia rubra,

- pelvic pain,

- fatigue,

- heaviness