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The management of puerperal pyrexia involves:

  • detailed history and examination
  • isolation of the mother and baby
  • investigation of possible cause:
    • high vaginal swab
    • throat swab
    • blood culture
    • urine analysis
  • appropriate treatment of infection
    • mastitis - empirical treatment with flucloxacillin (erythromycin if penicillin-allergic); send a sample of breast milk for culture and sensitivity
    • endometritis - empirical treatment e.g. amoxycillin 500mg tds IV and metronidazole 400mg IV tds; also uterine curettage

For more details see linked items.