Postpartum endometritis

Question 1

What is postpartum endometritis

Answer 1

inflammationof theendometrium, usually caused byinfection. It can occur in thepostpartum period, as infection is introduced during or after labour and delivery.

Question 2

How can risk of endometritis be reduced?

Answer 2

Prophylactic antibiotics during C-section

Question 3

What are some causative organisms of postpartum endometritis

Answer 3

Gram -ve
Grma +ve
Anaerobics
STIs such as chlamydia or gonorrhoea

Question 4

Presentation of postpartum endometritis

Answer 4

• Foul-smelling discharge or lochia
• Bleeding that gets heavier or does not improve with time
• Lower abdominal or pelvic pain
• Fever
• Sepsis

Question 5

Investigations required in postpartum endometritis

Answer 5

Vaginal swabs
Urine cultures and sensitivities
USS to rule out RPOC

Question 6

Management of postpartum endometritis

Answer 6

Treat septic patents with sepsis 6
Clindamycin + Gentamicin often used
Oral co-amoxiclav in community for milder