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endometritis
Etiology:
- bacterial infection of the endometrium
- infection generally polymicrobial involving aerobes & anaerobes
- occurs more frequently after C-section than vaginal delivery
Clinical manifestations:
1) lower abdominal cramps (uterine cramps)
- muscle spasms, tenderness
2) vaginal discharge (foul smelling)
3) nausea/vomiting
4) fever
5) tachycardia
6) most presentations 1-7 days after delivery
Laboratory:
1) complete blood count (CBC): leukocytosis
2) gram stain of vaginal discharge
3) culture of vaginal discharge
Management:
- intravenous clindamycin plus gentamicin
Specific
endomyometritis
General
pelvic inflammatory disease (PID)
bacterial infection
uterine disease
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: 25922861 PMCID: PMC7050613 Free PMC article. Review.