Medicine an Surgery notes

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Fever During and After ChildbirthAdvances in Maternal and Neonatal HealthSession ObjectivesDiscuss best practices for management of infection during andafter childbirth, especially:AmnionitisMetritisDescribe strategies for prevention of infectionDistinguish between prophylactic and therapeutic use ofantibioticsFever During and After Childbirth2Providing Prophylactic AntibioticsHelp prevent infection, which can result from certainprocedures, including:Cesarean sectionManual removal of placentaCorrection of uterine inversionRepair of ruptured uterusPostpartum hysterectomyProlonged rupture of membranes (Group B streptococcus)If infection is suspected or diagnosed, therapeutic antibioticsare more appropriateFever During and After Childbirth3Providing Prophylactic Antibiotics(continued)Should be given 30 minutes before procedure, to allowadequate blood levels at time of procedureExcept at cesarean, give antibiotics when cord is clamped afterdelivery of newbornOne dose is enough (as effective as 3 doses or 24 hours ofantibiotics)If procedure is longer than 6 hours or blood loss is 1500 mL ormore, give second dose.Gyssens 1999; Polk and Christmas 2000.Fever During and After Childbirth4Providing Prophylactic Antibiotics forCesarean Section: Objective and DesignObjective: To determine which antibiotic regimen is mosteffective in r

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