Postpartum endometritis
Revision as of 04:49, 12 March 2011 by Rossdonaldson1 (talk | contribs)
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
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)