Postpartum endometritis

Background

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

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

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Work-Up

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DDx

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Treatment

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Disposition

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Evidence Based Questions

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See Also

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Source

Adapted from ....(insert)

Background

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

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==

Insert ==DDx==

Insert ==Treatment==

Insert ==Disposition==

Insert

Evidence Based Questions

Insert

See Also

Insert

Source

Adapted from ....(insert)