A postnatal ward rounds protocol requires screening every mother for puerperal pyrexia. According to the definition used in Indian public health practice, puerperal pyrexia is diagnosed when the maternal temperature exceeds:
- A 37.5 degrees C on any two occasions within the first 7 days
- B 38 degrees C within the first 14 days after delivery or abortion ✓
- C 38.5 degrees C persisting for more than 48 hours after delivery
- D 39 degrees C at any time during the first 6 weeks postpartum
Correct answer: B. 38 degrees C within the first 14 days after delivery or abortion
Explanation
The accepted definition of puerperal pyrexia, as given in Park's Textbook of Preventive and Social Medicine and followed in Indian examinations, is a rise of temperature reaching 38 degrees C or more within the first 14 days after delivery or abortion. The 14-day window distinguishes it from definitions limited to the lying-in period, and the threshold of 38 degrees C rules out the milder options.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.