2025/2026 ABNORMAL PUERPERIUM NOTES

ABNORMAL
PUERPERIUM
notes by Agradeservers.

, TABLE OF CONTENTS: ABNORMAL PUERPERIUM

1. Introduction to Puerperium
1.1. Definition of Puerperium
1.2. Objectives
1.3. Introduction & Key Complications to Report
2. Minor Puerperal Disorders
2.1. Haemorrhoids (Causes & Management)
2.2. After Pains (Causes & Management)
2.3. Perineal Soreness/Pain (Causes & Management)
3. Major Puerperal Complications
3.1. Puerperal Pyrexia
- 3.1.1. Definition and Causes
- 3.1.2. Investigations and Management
3.2. Puerperal Sepsis (Puerperal Infection)
- 3.2.1. WHO Definition and Diagnostic Criteria
- 3.2.2. Causative Organisms (Endogenous & Exogenous)
- 3.2.3. Predisposing Factors (Antepartum, Intrapartum)

, - 3.2.4. Primary and Secondary Infection Sites
- 3.2.5. Clinical Features (Local, Uterine, Spreading)
- 3.2.6. Investigations and Diagnosis
- 3.2.7. Prophylaxis (Antenatal, Intranatal, Postnatal)
- 3.2.8. Treatment (General and Surgical)
4. Urinary Complications in Puerperium
4.1. Urinary Tract Infection (UTI)
- 4.1.1. Causes and Risk Factors
- 4.1.2. Clinical Features and Management
4.2. Retention of Urine (Causes & Management)
4.3. Incontinence of Urine (Types & Overview)
5. Puerperal Psychiatric Disorders
5.1. Overview and Etiology
5.2. Risk Factors and Incidence
5.3. Postpartum Blues (Signs, Symptoms & Management)
5.4. Postpartum Depression (Signs, Symptoms & Management)
5.5. Postpartum Psychosis (Signs, Symptoms & Management)
5.6. Comparison of Disorders & Teaching for Self-Care
6. Summary

, PUERPERIUM

•Def: Period following
labour that lasts 6wks
after delivery during which
the pelvic organs return to
their pre-gravid state.