Obstetrics & Gynaecology · Puerperium, Rh Isoimmunization and Cesarean Section

As per standard obstetric definitions used in Indian examinations, puerperal pyrexia is defined as:

  • A Any fever within 6 weeks of delivery regardless of measured temperature
  • B Temperature of 38.5 degrees Celsius or more on two consecutive days after delivery
  • C Temperature of 38 degrees Celsius or more occurring within 14 days of delivery or abortion
  • D Temperature of 37.5 degrees Celsius or more persisting for 48 hours postpartum
Correct answer: C. Temperature of 38 degrees Celsius or more occurring within 14 days of delivery or abortion

Explanation

The classical definition is a rise of temperature reaching 38 degrees Celsius (100.4 F) or more on any occasion within 14 days following delivery or miscarriage. The threshold of 38 A distinguishes it from low grade physiological fever, and the 14 day window is the conventional examination answer. Causes include genital sepsis, breast engorgement, urinary infection, wound infection and mastitis.

Reference: DC Dutta's Textbook of Obstetrics, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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