Postpartum endometritis Flashcards
1
Q
Why is there a risk of endometritis post -partum?
A
Process of delivery opens the vagina and uterus and allows for ascending infection (it’s more common in C sections)
2
Q
Causes of endometritis in pts at risk
A
Chlamydia
Gonorrhoea
3
Q
2 causes for endometritis (apart from postpartum)
A
PID
Dilatation and curettage
4
Q
5 signs and symptoms of endometritis
A
1) Foul smelling PV discharge
2) Bleeding that doesn’t resolve
3) Abdo/pelvic pain
4) Fever
5) Malaise
5
Q
2 investigations before Abx for endometritis
A
MSU
Vaginal swab
6
Q
Investigation: Consider in endometritis
A
TV USS for RPOC
7
Q
Abx for sepsis with endometritis
A
Gentamicin and Clindamycin
8
Q
Abx for endometritis (no sepsis?
A
Co-amoxiclav
