(7) Limit unnecessary vaginal exams during labor which increases the
chances of introducing organisms from the rectum and vagina into the uterus.
f. Kinds of Postpartal Infections.
Endometritis-invasion of microorganisms into the placental site of the
(2) Pelvic cellulitis (parametritis)-infection that has spread beyond the
endometrium into the surrounding pelvic structures including the broad ligament.
Peritonitis-an infection of the peritoneum, either generalized or localized.
Salpingitis-an infection of the fallopian tubes following childbirth.
g. Medical Treatment of Puerperal Infection.
(1) Antibiotics to which the causative organisms are sensitive, analgesics,
(a) Initial antibiotics are given by IV until the fever resolves.
(b) May possibly switch from IV and give oral medication if fever
remains normal for 48 to 72 hours.
May use a course of triple antibiotics until all cultures are obtained.
Incision and drainage (I&D) of any abscesses formed.
h. Nursing Care of Puerperal Infection.
Isolation, if possible, the removal of the patient from the maternity ward.
Meticulous hand washing.
Patient placed in Fowler's position to facilitate drainage.
Reeducation of the patient on handwashing and peri-care.
(5) Emotional support since the patient may be prevented from rooming in
with her infant while her temperature is elevated.
a. General. Thrombophlebitis is an inflammation/infection of pooled and clotted
blood in a vein.