Mora-Valverde JA

Language: Spanish
References: 12
Page: 149-152
PDF size: 150.61 Kb.

ABSTRACT

The septic pelvic thrombophlebitis is the formation of a clot in the interior veins of the pelvis caused by an infection, which can occur after giving birth, septic abortion or Caesarean operation. Postpartum infections are the most common puerperal complications, are defined as the apparition of an infection in the genital apparatus during the puerperium, presenting temperature higher than 38°C, 24 hours after labor, occurring at least two times, in periods separated by 24 hours. The most frequent places developing infections are: the uterus, and the episiotomy or caesarean wounds. Caesarean surgeries and low socioeconomic class are consistently associated with higher indicators of postpartum infections, being the surgery undoubtedly the risk factor for the development of infections such as the wound surgical infection, pelvic abscess, parametritis, endometritis and therefore, pelvic thrombophlebitis. Pelvic thrombophlebitis is one of the causes for postpartum fever, something to keep in mind on a fever crisis in the delivery context, especially when antimicrobial treatment is not working. This complication may appear during the puerperium as a consequence of an endometritis or after a pelvic surgery. Its treatment is based on antibiotics and anticoagulant. It is an unusual but dangerous entity, therefore the importance of an early diagnose and treatment.

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