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': 'Common route of spread of puerperal sepsis \nSelect and explain. \nA. Lymphatic, B. Direct invasion, C. Skip lesion, D. Hematogenous', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Puerperal pyrexia – is defined as a rise of temperature reaching 100.4° F (38° C) or more (measured orally) on 2 separate occasions at 24 hours apart (excluding first 24 hours) within first 10 days following delivery.\nAny infection of genital tract which occurs as a complication of delivery is called as Puerperal sepsis.\nMost common site of Puerperal infection – Placental site. In vaginal delivery and uterine incision in cesarean section.\nMost common manifestation of Puerperal infection – Endometritis.\nMost common cause of Puerperal sepsis – Streptococcus.\nMost common route of infection – Direct spread.\nSingle most significant risk factor for development of puerperal sepsis (uterine infection) = Route of delivery (It is M/C in cesarean delivery than vaginal delivery)\nMgt: Clindamycin + Gentamycin ± Ampicillin', 'role': 'assistant'}]