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Chapter-48 Abnormalities of Puerperium

BOOK TITLE: Essentials of Obstetrics

Author

1. Gupta Krishnendu
2. Chakravarti Sudip
3. Datta Sajal

ISBN

9788184489095

DOI

10.5005/jp/books/11242_48

Edition

2/e

Publishing Year

2011

Pages

Author Affiliations

1. Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan, Kolkata, Vivekananda Institute of Medical Sciences, Kolkata, India, Vivekananda Institute of Medical Sciences (VIMS), Kolkata, Kolkata, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal; Indian College of Obstetricians and Gynecologists, Mumbai, Maharashtra, India, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India; Kasturba Medical College, Manipal, Karnataka, India, Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan, Kolkata, West Bengal, India, Vivekananda Institute of Medical Sciences (VIMS), Kolkata, West Bengal, India, Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan Kolkata
2. Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan Kolkata, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India, Ramkrishna Mission Sevapratisthan, Kolkata; Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India, Vivekananda Institute of Medical Sciences, 99 Sarat Bose Road, Kolkata, Bengal, India, Vivekananda Institute of Medical Sciences, Kolkata, India, Vivekananda Institute of Medical Sciences and Ramkrishna Mission Seva Pratisthan, Kolkata
3. Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratisthan Kolkata, Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan, Kolkata, Vivekananda Institute of Medical Sciences, Kolkata, India, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India, Columbia Asia Hospital, Salt Lake; Vivekananda Institute of Medical Sciences; Ramkrishna Mission Seva Prathishthan Hospital, Kolkata, West Bengal, India

Chapter keywords

Abstract

Abstract

Since the first two aspects of puerperal problems (secondary postpartum hemorrhage and puerperal sepsis) this communication will briefly address the other encountered problems, both common and uncommon, during the puerperium. The puerperium is indeed a time of great importance for both the mother and her baby, and yet it is an aspect of maternity care that has received relatively far less attention than pregnancy and delivery. The problems of the puerperium are diverse and can be conveniently discussed under the following broad headings: 1. Secondary postpartum hemorrhage, 2. Puerperal sepsis, 3. Breast, 4. Venous system, 5. Urinary tract, 6. Chest, 7. Mental health, and 8. Genital tract. Puerperal sepsis and secondary hemorrhages are the common problems in the puerperium. Infection of the breast (synonymous with infectious mastitis) occurs almost exclusively in lactating women. Any fever of > 38ºC on any 2 of the first 10 days postpartum, except the first day. The postpartum period is the most common period during pregnancy for a thromboembolism. The most common place for a clot/embolus to get deposited from the pelvic veins is in the pulmonary circulation. About 2 to 4 percent of women develop urinary tract infection postpartum.

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