Infection Post Caesarian Section

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Suzy Baker a 30 year old primigravida has an emergency caesarean section at term following prolonged rupture of membranes and failure to progress. Suzy is now day four postnatal and complains of feeling hot and lethargic, her temperature is recorded as 38.6*c. Explain the immediate and subsequent care for Suzy during the next twenty four hours. Explanation needs to be supported with the evidence based rationales, with an emphasis on the role of the midwife. Caesarean section is like any other major surgery. Management of high temperature is not only a routine but mammoth especially post operatively because the comfort of the mother hitherwards the baby comfort. Pyrexia as a complication of surgery could be multifaceted ranging from pre surgical, intra surgical and post surgical infection. Nevertheless, the role of the midwife should sufficiently and substantially chauvinistic and be derived from evidence based practising to maximise the effects of care. The spread and effects of infection should be combated promptly not only to ensure the mother's comfort but also to prevent devastating systematic spread of infection and transmission to the baby. Because of the location, the pelvic organs are highly likely to be infected which may be catastrophic when major systems like bowel and renal are affected (Opoien, 2007). Following prolonged rapture of membranes a woman is at high risk of developing infection such as endometritis. Gilbert (2007) argued that, the rupture of membranes can cause intra amniotic infection which can quickly lead to a serious maternal infection. She further argued that, this infection can lead to septicaemia. Infection usually occurs in the post partum period (Gilbert, 2007). From the writer’s perspective, the world would go fowl had it not been the wonderful professional, a midwife. As a professional, a midwife does a wide range of care from

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