National Health Portal. Prevention of Puerperal Sepsis. Initial Management Risk of infection, hemorrhage, and pain must be minimized. NHP Voice Web (Toll Free): 1800-180-1104 Sepsis is defined as infection plus systemic manifestations of infection, and can lead to septic shock if not identified and treated promptly1. Genital tract infection, i.e. Anaemia and diabetes should be treated. admitted with puerperal sepsis during the study period. It is clear that the absence or inappropriate use of management protocols has been a major factor in a large number of maternal deaths due to pregnancy-related sepsis. The frequency of puerperal sepsis was 1.74%. In the UK, sepsis in the puerperium remains an important cause of maternal death. Antenatal: Proper diet, vitamins and minerals. Living with chronic kidney disease (CKD), the “new silent killer” requires individuals to cope with a myriad of physical and emotional stressors associated with this chronic illness and the resulting dialysis treatments. Avoid sexual intercourse late in pregnancy. Minimise vaginal examinations. Endometritis is the most common cause of puerperal sepsis1-2. Puerperal pyrexia and sepsis are among the leading causes of preventable maternal morbidity and mortality not only in developing countries but in developed countries as well. https://www.who.int/maternal_child_adolescent/documents/4_9241546662/en Out of 302 patients with puerperal problems there were 92 patients with puerperal sepsis which makes 30.4% of puerperal problems. This diagnosis is suggested by the general signs of infection and the uterine tenderness and offensive lochia. Most postpartum infections take place after hospital discharge, which is usually 24 hours after delivery. Intranatal: Strict aseptic and antiseptic measures for the patient, attendants and instruments. Demographic details are described in … The mortality rate for pregnancy-related sepsis in the UK was 0.44 deaths per 100,000 maternities in 2015-2017 . Gateway to authentic health information. Women are typically observed for at least 1 to 2 hours after the 3rd stage of labor and for several hours longer if regional or general anesthesia was used during delivery (eg, by forceps, vacuum extractor, or cesarean) or if the delivery was not completely routine. Puerperal sepsis is an important cause of maternal death, accounting for 5% of maternal deaths in New Zealand2. Local or distant infection should be treated. The Surviving Sepsis Campaign recommends protocolised ‘care bundles’ in the management of severe sepsis and septic shock . Even in the 21st century, at least 75,000 women die annually, worldwide of puerperal sepsis, mostly in low-income countries . Results:The definition of puerperal sepsis is not clear among nurse/midwives and healthcare givers and hence the misdiagnosis of puerperal sepsis. KEYWORDS:Puerperal sepsis, maternal morbidity, maternal mortality. Conclusion:Definition of puerperal sepsis is critical for it translates to proper care and management of the condition. www.nhp.gov.in. The spread of puerperal sepsis is checked by the remedial means that stimulates the resisting forces of nature to obstruct and overcome the pathogenic force of the septic toxine. puerperal sepsis.