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Evaluation of the role of puerperal fever in perinatal mortality in a central hospital. This study was conducted to evaluate the incidence and management of puerperal fever (PF) at the central hospital in Bahawalpur, Pakistan. All women admitted to the labour ward at the hospital during a 6 month period, were evaluated for incidence of PF. The incidence of PF was 1.4%. Antibiotic therapy was given to half of the cases; one quarter received erythromycin and the other two quarter received ampicillin plus gentamicin. Women with symptoms of PF were placed on intravenous antibiotics for 5 days. The duration of the antibiotic therapy was determined on a case to case basis. The women with PF were followed up for a period of 15 days and the delivery details were noted. The incidence of PF was higher in those with preterm labour (2.8%). A caesarean section was performed in 29.2% of the women who had PF. The most common indication for caesarean section was failure to progress in second stage of labour. The incidence of a repeat caesarean section was 12%. The mortality rate was 2.3%. A case to case analysis of the women with PF revealed the development of sepsis in half of the cases. The incidence of puerperal fever at the central hospital in Bahawalpur, was 1.4%. The majority of the cases with puerperal fever were treated with antibiotics. Women with a history of previous uterine surgery and women with preterm labour were more likely to develop PF. It is recommended that the duration of antibiotic therapy for puerperal fever be determined on a case to case basis.Last updated on.From the section Tennis Federer's 28th Grand Slam success was his second Australian Open title Defending champion Roger Federer beat Germany's Jan-Lennard Struff in the first round of the Australian Open on Monday. The Swiss, who was seeking his 28th Grand Slam title, will play Belarus' Gilles Simon on Wednesday. Federer, who earlier this month was passed over for the ATP Tour Finals in London, was only a set down in the first set against Struff but won 6-2 6-4 6-4. Federer lost in the final of this year's Australian Open to Frenchman Gauthier-Village. Struff's run to the final

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