Differential diagnosis of engorgement, mastitis and plugged duct Fi nong Engorgement Mastitis Plugged duct Onset Gradual Sudden Gradual Location Bilateral Unilateral Unilateral Swelling Generalized Localized Localized Pain Generalized Intense Localized localized systeMic Feels well Feels ill Feels well symptoms Fever Yes
Finding Engorgement Mastitis Plugged duct Onset Gradual Sudden Gradual Location Bilateral Unilateral Unilateral Swelling Generalized Localized Localized Pain Generalized Intense, localized Localized Systemic symptoms Feels well Feels ill Feels well Fever No Yes No Differential diagnosis of engorgement, mastitis and plugged duct
Diseases of puerperium 口 Puerperal infection u Late puerperal hemorrhage u Postpartum depression puerperal heat stroke
Diseases of puerperium ❑ Puerperal infection ❑ Late puerperal hemorrhage ❑ Postpartum depression ❑ puerperal heat stroke
Puerperal infection Puerperal infection Genital infected by pathogenic microorganism during labor and puerperal period The incidence is about 100-7.2%0 >It is one of the four kinds of causes which result in maternal mortality
Puerperal infection Puerperal infection ➢Genital infected by pathogenic microorganism during labor and puerperal period ➢The incidence is about 1%-7.2% ➢It is one of the four kinds of causes which result in maternal mortality
Puerperal morbidity >Tofmaternal more than 38c occurs twice within 24h-10 days after birth >It may be caused by pueperal infection urogenital infection et al
Puerperal morbidity ➢ T of maternal more than 38ºc occurs twice within 24h-10 days after birth ➢It may be caused by pueperal infection, urogenital infection et al
Induction factors of puerperal infection u General asthenia, Dystrophy aNemia sexual intercourse O PROM, Infection of amnotic cavity 日 Obstetric operation a Hemorrhage pre and postpartum
Induction factors of puerperal infection ❑ General asthenia, Dystrophy ❑ Anemia ,Sexual intercourse ❑ PROM, Infection of amnotic cavity ❑ Obstetric operation ❑ Hemorrhage pre and postpartum