Puerperal pyrexia and its causes

Puerperal Pyrexia : Short Summary and Causes


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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