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As with all medical conditions, there may be many causal factors. Further relevant information on causes of Puerperal disorders may be found in:
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Microorganisms that commonly cause puerperal infection include group B streptococci, coagulase-negative staphylococci, Clostridium perfringens, Bacteroides fragilis, and Escherichia coli. Most of these organisms are considered normal vaginal flora but are known to cause puerperal infection in the presence of certain predisposing factors:
❑ prolonged and premature rupture of the membranes
❑ prolonged (more than 24 hours) labor
❑ frequent or unsanitary vaginal examinations or unsanitary delivery
❑ retained products of conception
❑ hemorrhage
❑ maternal conditions, such as anemia or debilitation from malnutrition
❑ cesarean birth (20-fold increase in risk for puerperal infection).
In the United States, puerperal infection develops in about 6% of maternity patients.
Source: Professional Guide to Diseases (Eighth Edition), 2005
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