Obstetrics Book

http://www.fpnotebook.com/

Postpartum Endometritis

Aka: Postpartum Endometritis, Postpartum Endomyometritis
  1. See Also
    1. Endometritis
  2. Definition
    1. Postpartum uterine infection
  3. Causes
    1. Group B Streptococcus
      1. Most common organism in the first 24 hours postpartum
    2. Mixed anaerobic and aerobic Bacteria
      1. Most common organisms at 3-7 days postpartum
    3. Chlamydia
      1. Most common organism starting 2-3 weeks postpartum
  4. Signs
    1. Maternal fever
      1. Temperature > 38.0 C (100.4 F)
        1. Two separate recorded values
        2. Occurs >24 hours Postpartum
      2. Temperature > 38.7 C (101.5 F)
    2. General physical examination
      1. See Differential Diagnosis
    3. Pelvic examination
      1. Vaginal hematoma
      2. Lochia blockage
  5. Differential Diagnosis: Seven W's of maternal fever
    1. Womb
      1. Endometritis
    2. Wind
      1. Atelectasis
      2. Pneumonia
    3. Water
      1. Urinary Tract Infection
    4. Walk
      1. Deep Vein Thrombosis
      2. Pulmonary Embolism
    5. Wound
      1. Wound Infection
      2. Episiotomy infection
    6. Weaning
      1. Breast engorgement
      2. Mastitis
      3. Breast abscess
    7. Wonder
      1. Drug Fever ("wonder drugs")
  6. Labs
    1. Complete Blood Count
    2. Urinalysis
    3. Urine Culture
    4. Blood Culture
  7. Radiology
    1. Chest XRay
    2. Pelvic Ultrasound when indicated
  8. Management
    1. See Endometritis Antibiotic Management
      1. Continue antibiotics until 1-2 days after afebrile
    2. Persistent fever >48 to 72 hours despite antibiotics
      1. Evaluate for pelvic abscess
      2. Evaluate for septic pelvic Thrombophlebitis
      3. Consider Drug Fever

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree