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Puerperal pyrexia

MedGen UID:
730326
•Concept ID:
C1331543
•
Disease or Syndrome
Synonyms: Childbed fever; Postpartum fever; Postpartum Pyrexia; Puerperal fever
SNOMED CT: Puerperal pyrexia (237348005); Postpartum fever (237348005); Puerperal fever (2858002); Childbed fever (2858002)

Definition

A sustained temperature of 38C (100.4F) or greater beyond the first 24 hours following birth, or a temperature of 39C (102.2F) within the first 24 hours following birth. (adapted from ACOG) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPuerperal pyrexia

Professional guidelines

PubMed

Primary caeserean section in grandmultiparae at Mater Misericordiae Hosptial Afikpo: a 5 year retrospective study.
Ojiyi EC, Dike EI, Idrissa AU
Niger J Clin Pract 2008 Dec;11(4):368-71. PMID: 19320413

Recent clinical studies

Etiology

Puerperal Pyrexia: a review. Part II.
Maharaj D
Obstet Gynecol Surv 2007 Jun;62(6):400-6. doi: 10.1097/01.ogx.0000266063.84571.fb. PMID: 17511894
Puerperal pyrexia: a review. Part I.
Maharaj D
Obstet Gynecol Surv 2007 Jun;62(6):393-9. doi: 10.1097/01.ogx.0000265998.40912.5e. PMID: 17511893
A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery.
Rush RW, Isaacs S, McPherson K, Jones L, Chalmers I, Grant A
Br J Obstet Gynaecol 1984 Aug;91(8):724-30. doi: 10.1111/j.1471-0528.1984.tb04840.x. PMID: 6380564
Puerperal pyrexia--a prospective study.
Vaughan J, MacDonald D, Daly L
Ir Med J 1979 Aug 31;72(8):317-20. PMID: 511492
Fetal monitoring: its effect on the perinatal mortality and cesarean section rates and its complications.
Tutera G, Newman RL
Am J Obstet Gynecol 1975 Jul 15;122(6):750-4. doi: 10.1016/0002-9378(75)90582-7. PMID: 1155516

Diagnosis

Pyomyoma associated with bacteremia and puerperal pyrexia: A case report.
Kenix Choi MC, Chen LC, Lee CC, Tsai MS
Taiwan J Obstet Gynecol 2023 Jan;62(1):171-174. doi: 10.1016/j.tjog.2022.10.007. PMID: 36720535
Scar Rupture in Early Puerperium: A Case Report.
Dahal J, Saha R
JNMA J Nepal Med Assoc 2022 May 5;60(249):491-493. doi: 10.31729/jnma.7346. PMID: 35633242Free PMC Article
Prevalence and foetomaternal effects of iron deficiency anaemia among pregnant women in Lagos, Nigeria.
Ajepe AA, Okunade KS, Sekumade AI, Daramola ES, Beke MO, Ijasan O, Olowoselu OF, Afolabi BB
PLoS One 2020;15(1):e0227965. Epub 2020 Jan 23 doi: 10.1371/journal.pone.0227965. PMID: 31971986Free PMC Article
Fetal monitoring: its effect on the perinatal mortality and cesarean section rates and its complications.
Tutera G, Newman RL
Am J Obstet Gynecol 1975 Jul 15;122(6):750-4. doi: 10.1016/0002-9378(75)90582-7. PMID: 1155516
Enigmatic puerperal pyrexia.
Lamki H
J Ir Med Assoc 1973 Jul 21;66(14):386-7. PMID: 4719280

Therapy

Pyomyoma associated with bacteremia and puerperal pyrexia: A case report.
Kenix Choi MC, Chen LC, Lee CC, Tsai MS
Taiwan J Obstet Gynecol 2023 Jan;62(1):171-174. doi: 10.1016/j.tjog.2022.10.007. PMID: 36720535
Scar Rupture in Early Puerperium: A Case Report.
Dahal J, Saha R
JNMA J Nepal Med Assoc 2022 May 5;60(249):491-493. doi: 10.31729/jnma.7346. PMID: 35633242Free PMC Article
Puerperal pyrexia: a review. Part I.
Maharaj D
Obstet Gynecol Surv 2007 Jun;62(6):393-9. doi: 10.1097/01.ogx.0000265998.40912.5e. PMID: 17511893
A randomized trial of 30-min and 15-min oxytocin infusion regimen for induction of labor at term in women of low parity.
Orhue AA
Int J Gynaecol Obstet 1993 Mar;40(3):219-25. doi: 10.1016/0020-7292(93)90834-j. PMID: 8096473
A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery.
Rush RW, Isaacs S, McPherson K, Jones L, Chalmers I, Grant A
Br J Obstet Gynaecol 1984 Aug;91(8):724-30. doi: 10.1111/j.1471-0528.1984.tb04840.x. PMID: 6380564

Prognosis

Pyomyoma associated with bacteremia and puerperal pyrexia: A case report.
Kenix Choi MC, Chen LC, Lee CC, Tsai MS
Taiwan J Obstet Gynecol 2023 Jan;62(1):171-174. doi: 10.1016/j.tjog.2022.10.007. PMID: 36720535
Caesarean section versus vaginal delivery for preterm birth in singletons.
Alfirevic Z, Milan SJ, Livio S
Cochrane Database Syst Rev 2013 Sep 12;2013(9):CD000078. doi: 10.1002/14651858.CD000078.pub3. PMID: 24030708Free PMC Article
Puerperal Pyrexia: a review. Part II.
Maharaj D
Obstet Gynecol Surv 2007 Jun;62(6):400-6. doi: 10.1097/01.ogx.0000266063.84571.fb. PMID: 17511894
Puerperal pyrexia: a review. Part I.
Maharaj D
Obstet Gynecol Surv 2007 Jun;62(6):393-9. doi: 10.1097/01.ogx.0000265998.40912.5e. PMID: 17511893
Fetal monitoring: its effect on the perinatal mortality and cesarean section rates and its complications.
Tutera G, Newman RL
Am J Obstet Gynecol 1975 Jul 15;122(6):750-4. doi: 10.1016/0002-9378(75)90582-7. PMID: 1155516

Clinical prediction guides

Caesarean section versus vaginal delivery for preterm birth in singletons.
Alfirevic Z, Milan SJ, Livio S
Cochrane Database Syst Rev 2013 Sep 12;2013(9):CD000078. doi: 10.1002/14651858.CD000078.pub3. PMID: 24030708Free PMC Article
Caesarean section versus vaginal delivery for preterm birth in singletons.
Alfirevic Z, Milan SJ, Livio S
Cochrane Database Syst Rev 2012 Jun 13;6(6):CD000078. doi: 10.1002/14651858.CD000078.pub2. PMID: 22696314Free PMC Article
Study on primary cesarean section.
Saha L, Chowdhury SB
Mymensingh Med J 2011 Apr;20(2):292-7. PMID: 21522103
Severe anaemia in pregnancy: a tertiary hospital experience from northern India.
Rohilla M, Raveendran A, Dhaliwal LK, Chopra S
J Obstet Gynaecol 2010;30(7):694-6. doi: 10.3109/01443615.2010.509821. PMID: 20925612
Fetal monitoring: its effect on the perinatal mortality and cesarean section rates and its complications.
Tutera G, Newman RL
Am J Obstet Gynecol 1975 Jul 15;122(6):750-4. doi: 10.1016/0002-9378(75)90582-7. PMID: 1155516

Recent systematic reviews

Caesarean section versus vaginal delivery for preterm birth in singletons.
Alfirevic Z, Milan SJ, Livio S
Cochrane Database Syst Rev 2013 Sep 12;2013(9):CD000078. doi: 10.1002/14651858.CD000078.pub3. PMID: 24030708Free PMC Article
Caesarean section versus vaginal delivery for preterm birth in singletons.
Alfirevic Z, Milan SJ, Livio S
Cochrane Database Syst Rev 2012 Jun 13;6(6):CD000078. doi: 10.1002/14651858.CD000078.pub2. PMID: 22696314Free PMC Article

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