Postpartum endometritis: Difference between revisions
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Insert | Insert | ||
==DDx== | == DDx == | ||
UTI/urosepsis | |||
Intra-abdominal abscess | |||
Septic pelvic vein thrombophlebitis | |||
Pelvic DVT | |||
==Treatment== | ==Treatment== | ||
Revision as of 08:53, 14 June 2011
Background
| RF (+no abx prophy) | Rate |
| Nonelective cesarean | 30% |
| Elective cesarean | 7% |
| Vaginal delivery | 3% |
Risk Factors
- Cesarean delivery (most important)***
- Prolonged labor
- Prolonged rupture of membranes
- Multiple cervical examinations
- Internal fetal or uterine monitoring
- Large amount of meconium in amniotic fluid
- Manual removal of the placenta
- Low socioeconomic status
- Maternal diabetes mellitus or severe anemia
- Preterm birth
- Bacterial vaginosis
- Operative vaginal delivery
- Postterm pregnancy
- HIV infection
- Colonization with group B streptococcus
Diagnosis
- fever
- uterine tenderness
- foul lochia
- mild vaginal bleeding
- NSVD --> late endometritis & polymicrobial
- Csection --> earlier endometrtitis
Work-Up
Insert
DDx
UTI/urosepsis
Intra-abdominal abscess
Septic pelvic vein thrombophlebitis
Pelvic DVT
Treatment
Insert
Disposition
Insert
Evidence Based Questions
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See Also
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Source
Adapted from ....(insert)