Postpartum fever

Introduction Postpartum fever, one of the obstetric conditions, manifested as maternal continuous fever after childbirth, or sudden high fever, accompanied by other symptoms. Common causes are exogenous, blood deficiency, blood stasis, food stagnation, infection and other toxic drugs.

Cause

The etiology and pathology of this disease is mainly caused by infection of cult poison at birth, or physical weakness, exogenous evil, or internal stasis of blood stasis, or injury, or steamed milk, or blood deficiency, so that the evils are arbitrarily contested, and the air is blocked. The camp was lost and caused fever.

1. Infected with sinister poison: the birth is unclean, or the birth canal is damaged, or the postpartum clothes are unclean, and the vulva is improperly treated, resulting in the invasion of cult poison.

2. An external cold: the postpartum vitality is weak, the dynasty is empty, the ignorance is not secret, the time and evil are taken into the virtual, the camp is not harmonious, and thus fever.

3. Blood stasis: Poor postpartum lochia, stagnant blood stagnant, obstructing the air machine, and heat for a long time.

4. Blood deficiency: excessive blood loss at birth, or blood deficiency of the body, more virtual after childbirth, lack of Ying Yin, endogenous heat.

5. Injury: Postpartum spleen is not recovered, the diet is out of date, the transportation is lost, the food stagnation stops, and the stagnation heats up.

6. Steamed milk: The postpartum milk is not smooth or blocked, so that the milk does not fall, the milk is blocked, and it is hot for a long time.

an examination

Related inspection

Basal metabolic regression thermocoil (BR)

The diagnosis of this disease is based on fever in the puerperium, especially after the new postpartum, often accompanied by abnormal lochia, or abdominal pain. The disease must be differentiated from the fever of various internal and external diseases, such as dysentery, malaria, intestinal fistula, etc., and its identification method mainly involves four diagnoses and necessary examinations. Within one or two days after birth, there is low fever. This is due to excessive fatigue and blood loss at the time of birth, so that the maternal is in the yin and blood deficiency, the yang is not dependent, the yang is floating outside, the camp is lost and the heat is low, it is physiological fever, no need for treatment, and can self-heal. Therefore, the clinical examination of TCM in postpartum fever is generally combined with the cause of the disease, clinical symptoms, tongue coating, pulse, etc. to specifically examine and judge. In addition, the examination of Western medicine is generally based on specific clinical symptoms and signs, such as blood tests and other inspection items.

Differential diagnosis

[clinical manifestations]

1 fever within 10 days after birth, the body temperature is above 38 °C for 3 consecutive days, accompanied by abnormalities in color, quality, quantity and smell of abdominal pain and vaginal secretions.

2 prenatal care is not a matter of house, or postpartum can not be allowed to intercourse, careless delivery, or delayed production, dystocia, care and maintenance of unclean, or excessive blood loss, or when the wind is cold, heat or heat, or emotional.

3 check:

3.1 Obstetric examination: soft birth canal injury, pelvic inflammatory changes.

3.2 Laboratory examination: blood routine examination shows inflammatory changes, blood and vaginal or intrauterine discharge cultures have bacterial growth.

3.3 Ultrasound examination: the diagnosis of pelvic abscess can provide a basis.

[Diagnostic points]

1. The diagnosis of this disease is based on fever in the puerperium, especially after the new birth, often accompanied by abnormal lochia, or abdominal pain.

2. The disease must be differentiated from the fever of various internal and external diseases, such as dysentery, malaria, intestinal fistula, etc., and its identification method mainly involves four diagnoses and necessary examinations.

3. Within one or two days after birth, there is low fever. This is due to excessive fatigue and blood loss at the time of birth, so that the maternal is in the yin and blood deficiency, the yang is not dependent, the yang is floating outside, the camp is lost and the heat is low, it is physiological fever, no need for treatment, and can self-heal.

[Dialectical Classification]

1. Infected with sinister poison, persistent high fever, accompanied by chills, abdominal pain, refused to press, lochia more or less, color odor, constipation, short urine, irritability and thirst. The moss is thick and greasy, the tongue is red, and the pulse slips.

2. Exogenous postpartum aversion to cold fever, headache, no sweat, limbs, soreness, or nasal congestion, coughing. The moss is thin and the pulse is floating.

3. The blood stasis is produced after the cold and heat, and the lochia does not fall. There is a block of color, the pain of the lower abdomen refuses to press, and the mouth is dry and does not want to drink. Moss thin, cyanosis, pulse string .

4. After the blood deficiency, the body is hot and lingering, sweating is not only, dizziness, pale, palpitations and weakness. The thin tongue of the moss is light and the pulse is weak.

5. Insufficient food after eating, or adjusted too tired, stomach swell, swallow acid and rot, do not think about diet, poor stool, low heat ups and downs. The moss is thick and greasy.

6. Steamed milk after childbirth, breast pain, bowing and threatening, and there are agglomeration, no milk. The moss is thin and greasy.

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