Postpartum endometritis: Difference between revisions

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==<font size="100%">Background</font>==
==Background==


{| class="pbNotSortable" width="200" cellspacing="1" cellpadding="1"
{| width="200" cellspacing="1" cellpadding="1"
| '''RF (+no abx prophy)<br />'''
| '''RF (+no abx prophy)<br />'''
| '''Rate'''
| '''Rate'''
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'''Risk Factors'''
'''Risk Factors'''


0)� Cesarean delivery (most important)***
#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


1) Prolonged labor
== Diagnosis ==
 
2) Prolonged rupture of membranes
 
3) Multiple cervical examinations
 
4) Internal fetal or uterine monitoring
 
5) Large amount of meconium in amniotic fluid
 
6) Manual removal of the placenta
 
7) Low socioeconomic status
 
8) Maternal diabetes mellitus or severe anemia
 
9) Preterm birth
 
10) Bacterial vaginosis
 
11) Operative vaginal delivery
 
12) Postterm pregnancy
 
13) HIV infection
 
14) Colonization with group B streptococcus
 
==<font size="100%">Diagnosis</font>==
 
<div><font size="3" color="black" face="Lucida Grande"><span lang="EN"><font color="black"><font face="&quot;Lucida Grande&quot;"><font size="12pt">-fever</font></font></font></span></font></div><div><font size="3" color="black" face="Lucida Grande"><span lang="EN"><font color="black"><font face="&quot;Lucida Grande&quot;"><font size="12pt">-uterine tenderness</font></font></font></span></font></div><div><font size="3" color="black" face="Lucida Grande"><span lang="EN"><font color="black"><font face="&quot;Lucida Grande&quot;"><font size="12pt">-foul lochia</font></font></font></span></font></div><div><font size="3" color="black" face="Lucida Grande"><span lang="EN"><font color="black"><font face="&quot;Lucida Grande&quot;"><font size="12pt">-mild vaginal bleeding</font></font></font></span></font></div><div>�</div><div>
 
==<font size="100%">Work-Up</font>==
 
</div><div><font size="100%">Insert</font></div><div>�</div>
 
==<font size="100%">DDx</font>==
 
<div><font size="100%">Insert</font></div><div>�</div>
 
==<font size="100%">Treatment</font>==


<div><font size="100%">Insert</font></div><div>�</div>
*fever
*uterine tenderness
*foul lochia
*mild vaginal bleeding


==<font size="100%">Disposition</font>==
==Work-Up==
Insert


<font size="100%">Insert</font>
==DDx==
Insert  


==Evidence Based Questions==
==Treatment==
Insert


==Disposition==
Insert
Insert
==See Also==
<font face="inherit"><font size="13px">Insert</font></font>
==Source==
Adapted from ....(insert)
== Background ==
RF (+no abx prophy) Rate Nonelective cesarean 30% Elective cesarean 7% Vaginal delivery 3%
<br/>Risk Factors
0) Cesarean delivery (most important)***
1) Prolonged labor
2) Prolonged rupture of membranes
3) Multiple cervical examinations
4) Internal fetal or uterine monitoring
5) Large amount of meconium in amniotic fluid
6) Manual removal of the placenta
7) Low socioeconomic status
8) Maternal diabetes mellitus or severe anemia
9) Preterm birth
10) Bacterial vaginosis
11) Operative vaginal delivery
12) Postterm pregnancy
13) HIV infection
14) Colonization with group B streptococcus
== Diagnosis ==
-fever-uterine tenderness-foul lochia-mild vaginal bleeding ==Work-Up==
<br/>Insert ==DDx==
<br/>Insert ==Treatment==
<br/>Insert ==Disposition==
<br/>Insert


== Evidence Based Questions ==
== Evidence Based Questions ==
Insert
Insert


== See Also ==
== See Also ==
Insert
Insert


== Source ==
== Source ==
Adapted from ....(insert)
Adapted from ....(insert)


<br/>[[Category:OB/GYN]]
<br/>[[Category:OB/GYN]]

Revision as of 04:49, 12 March 2011

Background

RF (+no abx prophy)
 		Rate
Nonelective cesarean 30%
Elective cesarean 7%
Vaginal delivery 3%

Risk Factors

  1. Cesarean delivery (most important)***
  2. Prolonged labor
  3. Prolonged rupture of membranes
  4. Multiple cervical examinations
  5. Internal fetal or uterine monitoring
  6. Large amount of meconium in amniotic fluid
  7. Manual removal of the placenta
  8. Low socioeconomic status
  9. Maternal diabetes mellitus or severe anemia
  10. Preterm birth
  11. Bacterial vaginosis
  12. Operative vaginal delivery
  13. Postterm pregnancy
  14. HIV infection
  15. Colonization with group B streptococcus

Diagnosis

  • fever
  • uterine tenderness
  • foul lochia
  • mild vaginal bleeding

Work-Up

Insert

DDx

Insert

Treatment

Insert

Disposition

Insert

Evidence Based Questions

Insert

See Also

Insert

Source

Adapted from ....(insert)


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