Obstetric Anesthesia and Uncommon Disorders: Infectious diseases in pregnancy

摘要: Bacterial infections Clinical features: fever and asymptomatic patient Fever during pregnancy can result from a variety of infections, tissue trauma, malignancy, epidural analgesia, drug administration, endocrine or immunologic disorders. Infection is the most common cause, reflecting effect pyrogens on hypothalamus. skin, periodontal tissues, respiratory genitourinary tracts lead to pregnancy-related complications such as preterm labor, premature rupture membranes, abortion following pelvic inflammatory disease, chorioamnionitis, neonatal cervicitis, urethritis, ectopic pregnancy, low birthweight, stillbirth, pneumonia, septicemia, both maternal death. Urinary tract bacterial usually arise preexisting covert bacteriuria experts recommend screening eradication these silent routine prenatal practice. Antibiotic treatment beneficial in reducing morbidity/mortality, are preventable treatable. Clindamycin early reduce risk birth by 40–60%. Vaginal diseases often have little impact management obstetric anesthesiologist. The more related listed Table 18.1. Maternal fetal implications incidence infection labor has been estimated be about 3%. Severe sepsis less common, however, presents primary problem