management
Last reviewed 01/2018
The management of puerperal pyrexia involves:
- detailed history and examination
- isolation of the mother and baby
- investigation of possible cause:
- high vaginal swab
- throat swab
- blood culture
- urine analysis
- appropriate treatment of infection
- mastitis - empirical treatment with flucloxacillin (erythromycin if penicillin-allergic); send a sample of breast milk for culture and sensitivity
- endometritis - empirical treatment e.g. amoxycillin 500mg tds IV and metronidazole 400mg IV tds; also uterine curettage
For more details see linked items.