This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'All are true about puerperal sepsis except: \nSelect and explain. \nA. Temperature > 380C (100.4oF), B. Caesarean section has no increased risk for sepsis, C. Group A beta-hemolytic streptococcus is one of common causative organism, D. Instrument delivery increases risk', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Ans.(b) Caesarean section has no increased risk for sepsis Puerperal pyrexia -- is defined as a rise of temperature reaching 100.4deg F (38deg C) or more (measured orally) on 2 separate occasions at 24 hours apa (excluding first 24 hours) within first 10 days following delivery.Any infection of genital tract which occurs as a complication of delivery is called as Puerperal sepsis.Most common site of Puerperal infection -- Placental site.Most common manifestation of Puerperal infection -- Endometritis.Most common cause of Puerperal sepsis -- Streptococcus.Most common route of infection -- Direct spread.Caesarean section is easily the most common identifiable risk factor for development of puerperal infection.', 'role': 'assistant'}]