Severe Parametritis after Vaginal Delivery with Delayed Response to Broad Spectrum Antibiotics: A Case Report

Postpartum infections, also known as puerperal fever, are bacterial infections of the female reproductive tract following childbirth or miscarriage. Symptoms usually include a fever greater than 38.0°C (100.4°F), chills, lower abdominal pain, and possibly bad-smelling vaginal discharge. It usually occurs after the first 24 hours and within the first ten days following delivery, but life-threatening infection may occur within hours of delivery.

Cases Report:

We reported a case of severe parametritis in the first 24 hours of delivery. Cesarean section is a risk factor for postpartum infections, and response to treatment is lower than vaginal delivery. Our case was a severe pelvic infection after vaginal delivery, and its risk factor was prolonged rupture of the membrane. Therefore, rapid diagnosis and treatment are necessary to prevent abscess formation and sepsis.

In this case, rapid treatment with broad-spectrum antibiotics prevented abscess formation, sepsis, and hysterectomy.