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Table 1 Simplified algorithm for identifying postpartum maternal infection

From: The development and evaluation of a community-based clinical diagnosis tool and treatment regimen for postpartum sepsis in Bangladesh and Pakistan

Symptoms screened by CHWs

Classification

High fever [temperature 102.4 °F (39.1 °C) or higher]

Suspected PP sepsis

Fever [temperature 100.6 °F - 102.3 °F (38.1 °C – 39.0 °C)]

Suspected PP sepsis if fever present at examination or history of fever AND any other sign or symptom listed is present

History of fever

Lower abdominal or pelvic pain

Abnormal or foul-smelling discharge

Severe Vaginal bleeding

Other suspected illness

Severe headache AND blurred vision

Leaking urine and/or stool

Convulsions or unconscious

Lower abdominal pain (without fever)

Fever only [temperature 100.6 °F - 102.3 °F (38.1 °C – 39.0 °C)]

Suspected Local Infection

History of fever only

Abnormal or foul-smelling vaginal discharge (without fever)

Burning upon micturition

Cough or difficulty breathing

Pus or pain from tear, c- section or episiotomy wound

Swollen, red, or painful breast