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Puerperal tetanus.

Y R Yadav1, S Yadav, P C Kala

  • 1Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh.

Journal of the Indian Medical Association
|December 1, 1991
PubMed
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Puerperal tetanus, a significant cause of maternal mortality, has a high death rate, especially with short incubation periods and respiratory issues. Prompt treatment and infection control are crucial for improving outcomes in these critical cases.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Puerperal tetanus represents a notable percentage of overall tetanus cases.
  • High mortality rates associated with puerperal tetanus underscore the need for improved management strategies.

Purpose of the Study:

  • To analyze the clinical characteristics and outcomes of puerperal tetanus cases.
  • To identify factors influencing mortality in puerperal tetanus patients.

Main Methods:

  • Retrospective study of fifty puerperal tetanus cases.
  • Analysis of demographic data, clinical presentation, incubation and onset periods, fever, disease grade, and complications.

Main Results:

  • Overall mortality rate was 52%.

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  • Higher mortality was observed with shorter incubation (≤14 days) and onset (≤48 hours) periods, higher disease grades, fever (>37.7°C), and respiratory complications.
  • Respiratory complications were identified as the primary cause of death.

    • Conclusions:

    • Effective local infection control is vital for improving prognosis in puerperal tetanus.
    • Preventive measures, early detection, and prompt management of respiratory complications are essential to reduce mortality.