Postpartum wound infection treatment

This is an automatically translated article.

The article was professionally consulted by BSCK II Pham Thi Tuyet Mai - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.
Postpartum wound infection, also known as postpartum infection, is the most common of the 5 obstetric complications. Currently, medicine has been more advanced, antibiotic treatment as well as living conditions have been improved, so severe postpartum infections have also improved but can still be encountered in remote and isolated areas. difficulty.

1. Causes of cesarean section infection

All common bacteria such as: Streptococcus, staphylococcus, Coli bacilli, anaerobic bacteria... can cause C-section infection. These bacteria are often present in the environment around us, when conditions are favorable (visiting delivery and performing obstetric procedures where hands and tools are not sterilized) they will enter the body. through rubbing lesions in the vulva, vagina or lesions in the placental area at the fundus of the uterus. The severity of the infection depends on the mother's health, the toxicity of bacteria and their antibiotic resistance, and the sooner or later the disease is detected and treated.
Today, with the great development of the anesthesiology and critical care industry in treatment and care, the cesarean section has taken place quite safely and with less pain than a normal birth. However, cesarean section needs to be more careful, especially the care of the cesarean section after birth.

2. Is there a danger of infection in the surgical site after giving birth?

Postpartum incision infection is really a worrying thing, if not paid proper attention, this condition will affect the health and body aesthetics of the mother, more dangerous can lead to septicemia , even with the risk of death . Caesarean section is not the first choice of obstetricians, cesarean section is only indicated when the mother or fetus is at risk for health.

3. Recognizing postpartum surgical site infection

Infection of the suture cut in the perineum, vulva makes this area edematous, swollen, and the suture contains pus. Bacterial infections in the vagina and cervix cause the mother to produce a lot of foul-smelling discharge, which is very painful to examine the pregnant woman. Uterine infection is less common but more severe, pregnant women produce a lot of foul-smelling fluid, sometimes with blood, uterine examination is very painful, painful when touched. Infections of the appendages such as fallopian tubes, ovaries, ligaments... often go on for a long time, easily becoming chronic if not treated properly. Pelvic peritonitis and total peritonitis if bacteria from the genital tract invade the pelvis and abdomen. This phenomenon is very dangerous, requiring surgery to drain pus, but it is easy to leave sequelae after surgery. Venous thrombosis of the pelvis or lower extremities: Manifestations are swollen, hot and painful legs. This condition can cause sudden death if the clot travels to the heart causing a heart attack, moves to the brain to cause cerebral infarction, moves to the lungs to cause pulmonary embolism.. so it must be fixed soon and congested extremity bandage. In addition, bacteria can go directly from the genitals into the bloodstream, causing severe sepsis, which is difficult to treat and has a very high mortality rate.

4. Treatment of postpartum wound infection

Normally, after giving birth, the uterus will gradually shrink, the discharge will be less, the color will fade and disappear after 2 weeks. If after 3 - 4 days after giving birth, the mother still has a fever of 38 - 39 degrees Celsius, the uterus contracts slowly, the discharge is less like stasis or has a bad smell, pressing on the moving uterus, the uterus is painful. Think postpartum infection. If the post-partum wound infection is in the perineum and vulva, the perineum and vulva should be cleaned with antiseptic water, suture removal will be performed soon if there is perineal suture and usually topical antibiotics or Body.
Most postpartum cesarean section infections can be treated with antibiotics. The type of antibiotic depends on the severity of the infection as well as the causative agent. Postpartum scar healing is a complex process that goes through four overlapping stages: the hemorrhagic and inflammatory phase, the epithelialization phase, the proliferative phase, and the regenerative phase. In addition to antibiotic treatment, it is also necessary to clean the infection: Clean the uterine cavity, the wound in the vagina, the perineum, drainage of the pelvis....
Care for the incision in pregnant women with keloid scars. Be very careful, avoid infection, avoid overstretching the skin. Change the dressing daily with Betadin solution washing water, from the 3rd day onwards, the skin can be left open and the dressing is not needed.
At Vinmec International General Hospital, there is a package maternity service as a solution to help pregnant women feel secure because of the companionship of the medical team throughout the pregnancy. When choosing Maternity Package, pregnant women can:
The pregnancy process is monitored by a team of qualified doctors Regular check-up, early detection of abnormalities Maternity package helps to facilitate the process. Childbirth program Newborns receive comprehensive care Dr. Tuyet Mai has over 30 years of experience in examination and treatment in the field of Obstetrics and Gynecology, especially in lower tract surgery, family planning, internal surgery. Professional endoscopy, handling many heavy and difficult surgeries such as:
Hysterectomy, hymenectomy Surgery for uterine fibroids, cervical cancer Cervical cancer vaccination Early detection of cervical cancer uterus Cervical electrocautery Endocrine examination and treatment To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register for an online examination. HERE .