Postpartum Endometritis

Question 1

What is postpartum Endometritis?

Answer 1

Inflammation of the endometrium

Question 2

What are the risk factors of postpartum Endometritis?

Answer 2

1) c- section
2) prolonged labor
3) multiple cervical examinations
4) retained products of conception after delivery, miscarriage, abortion

Question 3

Caused from ?

Answer 3

• gardenrella vaginalis
• staphylococcus epidermis
• group B streptococcus

Question 4

Pathophysiology ?

Answer 4

Lochia retention leads to
Ideal breeding ground for infection leads to
Postpartum Endometritis leads to
Postpartum sepsis

Question 5

Clinical features

Answer 5

• fever
• lower abdominal pain/ uterine tenderness
• chills , malaise
• foul smelling lochia

Question 6

Diagnostics?

Answer 6

• clinically
• gram stain of vaginal discharge
• blood and uterine culture
• histo: plasma cells in chronic Endometritis

Question 7

Treatment

Answer 7

Antibiotic therapy: IV clindamycin and gentamicin
If patient is clindamycin resistant then ampicillin - sulbactum
- uterine curettage to remove the retained products
- hysterectomy in life threatening cases

Question 8

Complications

Answer 8

• surgical site infection
• pertonitis
• intra abdominal abscess