Managing Complications in Pregnancy and Childbirth: - IAWG

Fever during pregnancy and labourS-101• Fever• Headache• Dry cough• Malaise• Anorexia• Enlarged spleen• Confusion• StuporTyphoid aaGive ampicillin 1 g by mouth four times per day OR give amoxicillin 1 g by mouththree times per day for 14 days. Alternative therapy will depend on local sensitivitypatterns.TABLE S-13 Cont.Diagnosis of fever during pregnancy and labourPresenting Symptom andOther Symptoms and SignsTypically PresentSymptoms and SignsSometimes PresentProbable Diagnosis• Fever• Malaise• Anorexia• Nausea• Dark urine and pale stool• Jaundice• Enlarged liver• Muscle/joint pain• Urticaria• Enlarged spleenbProvide supportive therapy and observe.Hepatitis bMANAGEMENTURINARY TRACT INFECTIONSAssume that a urinary tract infection involves all levels of thetract, from renal calyces to urethral meatus.TESTSDipstick, microscopy and urine culture tests can be used to determine ifa urinary tract infection is present, but will not differentiate betweencystitis and acute pyelonephritis.• A dipstick leukocyte esterase test can be used to detect whiteblood cells and a nitrate reductase test can be used to detectnitrites.