Managing Complications in Pregnancy and Childbirth: - IAWG

S-100 Fever during pregnancy and labourDIAGNOSISTABLE S-13Diagnosis of fever during pregnancy and labourPresenting Symptom andOther Symptoms and SignsTypically PresentSymptoms and SignsSometimes PresentProbable Diagnosis• Dysuria• Increased frequency andurgency of urination• Dysuria• Spiking fever/chills• Increased frequency andurgency of urination• Abdominal pain• Foul-smelling vaginaldischarge in first 22 weeks• Fever• Tender uterus• Fever/chills• Foul-smelling waterydischarge after 22 weeks• Abdominal pain• Fever• Difficulty in breathing• Cough with expectoration• Chest pain• Fever• Chills/rigors• Headache• Muscle/joint pain• Symptoms and signs ofuncomplicated malaria• Coma• Anaemia• Retropubic/suprapubicpain• Abdominal pain• Retropubic/suprapubicpain• Loin pain/tenderness• Tenderness in rib cage• Anorexia• Nausea/vomiting• Lower abdominal pain• Rebound tenderness• Prolonged bleeding• Purulent cervical discharge• History of loss of fluid• Tender uterus• Rapid fetal heart rate• Light vaginal bleeding• Consolidation• Congested throat• Rapid breathing• Rhonchi/rales• Enlarged spleen• Convulsions• JaundiceCystitis, page S-101Acutepyelonephritis,page S-102Septic abortion,Table S-2, page S-9Amnionitis, pageS-139Pneumonia, pageS-129Uncomplicatedmalaria, page S-103Severe/complicatedmalaria, page S-52