Which definition of puerperal pyrexia is used in standard obstetric teaching?
- A Temperature of 38 degrees Celsius or more on any occasion within 14 days of delivery or abortion ✓
- B Temperature of 39 degrees Celsius or more persisting for 48 hours after delivery
- C Temperature of 38.5 degrees Celsius or more recorded twice in the first 24 hours
- D Temperature of 37.5 degrees Celsius or more on three consecutive days within the first week
Correct answer: A. Temperature of 38 degrees Celsius or more on any occasion within 14 days of delivery or abortion
Explanation
Puerperal pyrexia is classically defined as a temperature of 38 degrees Celsius or higher occurring on any occasion within 14 days of delivery or abortion. It signals possible genital sepsis, urinary infection, mastitis, wound infection or thromboembolism and mandates search for the source. The other options use wrong thresholds or durations. Note that transient fever in the first 24 hours is often dehydration related and does not itself define morbidity.
Reference: DC Dutta's Textbook of Obstetrics, 10th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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