PREDISPOSING FACTORS: PRECIPITATING FACTORS:

 Anemia  Environment
 Prolonged labor  Personal Hygiene
 Frequent vaginal examination  Perineal wound management
 Labor under unsterilized field  Immunocompromised
 Premature rupture of
membrane for prolonged period
 Diabetes
 Hypertension

Normal Vaginal bacteria activity triggered

Lacerations
Lower uterine segment placental site Incision sites

Warm and moist environment blood

and necrotic tissue

Bacterial proliferation and

colonization tissue invasion

Metritis

Myometritis
NURSING DIAGNOSIS:

 Risk for
infection
related to
tissue trauma
s/p NSSD
 Parametritis

(Pelvic cellulitis)

Blood transport of bacteria Rupture of parametrial abscess

lymphatic transport of bacteria

MANAGEMENT:

 Monitor blood
PERITONITIS
pressure
 Administration
of analgesics
and anti-
emetics
 IV fluids and
increase fluid
intake
POST PARTAL INFECTION

SEPTIC PELVIC