endometritis
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Etiology
- bacterial infection of the endometrium
- infection generally polymicrobial involving aerobes & anaerobes
- occurs more frequently after C-section than vaginal delivery
Clinical manifestations
- lower abdominal cramps (uterine cramps)
- muscle spasms, tenderness
- vaginal discharge (foul smelling)
- nausea/vomiting
- fever
- tachycardia
- most presentations 1-7 days after delivery
Laboratory
- complete blood count (CBC): leukocytosis
- gram stain of vaginal discharge
- culture of vaginal discharge
Management
More general terms
More specific terms
References
- ↑ DeGowin & DeGowin's Diagnostic Examination, 6th edition, RL DeGowin (ed), McGraw Hill, NY 1994, pg 882
- ↑ Journal Watch 23(14):109, 2003 Andrews WW et al, Obstet Gynecol 101:1183, 2003
- ↑ NEJM Knowledge+
Mackeen AD, Packard RE, Ota E, Speer L. Antibiotic regimens for postpartum endometritis. Cochrane Database Syst Rev. 2015 Feb 2;2015(2):CD001067. PMID: https://www.ncbi.nlm.nih.gov/pubmed/25922861 PMCID: PMC7050613 Free PMC article. Review.