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Gynaecology & Obstetrics General fbf5596d

All are true about puerperal sepsis except:

A
Temperature > 380C (100.4oF)
B
Caesarean section has no increased risk for sepsis
C
Group A beta-hemolytic streptococcus is one of common causative organism
D
Instrument delivery increases risk
High-Yield Explanation
Ans.(b) Caesarean section has no increased risk for sepsis Puerperal pyrexia -- is defined as a rise of temperature reaching 100.4deg F (38deg C) or more (measured orally) on 2 separate occasions at 24 hours apa (excluding first 24 hours) within first 10 days following delivery.Any infection of genital tract which occurs as a complication of delivery is called as Puerperal sepsis.Most common site of Puerperal infection -- Placental site.Most common manifestation of Puerperal infection -- Endometritis.Most common cause of Puerperal sepsis -- Streptococcus.Most common route of infection -- Direct spread.Caesarean section is easily the most common identifiable risk factor for development of puerperal infection.

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