Postpartum endometritis - Revision history

Rossdonaldson1 at 21:39, 6 July 2022

2022-07-06T21:39:42Z

← Revisión anterior		Revisión del 21:39 6 jul 2022
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	==References==		==References==
	<references/>		<references/>
	*Mackeen AD, Packard RE, Ota E, Speer L. Antibiotic regimens for postpartum endometritis. Cochrane Database Syst Rev. 2015 Feb 2;2015(2):CD001067. doi: 10.1002/14651858.CD001067.pub3. PMID: 25922861; PMCID: PMC7050613

	[[Category:OBGYN]]		[[Category:OBGYN]]
	[[Category:ID]]		[[Category:ID]]

2022-06-28T17:43:42Z

References

← Revisión anterior		Revisión del 17:43 28 jun 2022
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	==References==		==References==
	<references/>		<references/>
			*Mackeen AD, Packard RE, Ota E, Speer L. Antibiotic regimens for postpartum endometritis. Cochrane Database Syst Rev. 2015 Feb 2;2015(2):CD001067. doi: 10.1002/14651858.CD001067.pub3. PMID: 25922861; PMCID: PMC7050613

	[[Category:OBGYN]]		[[Category:OBGYN]]
	[[Category:ID]]		[[Category:ID]]

2022-06-07T21:55:43Z

Differential Diagnosis

← Revisión anterior		Revisión del 21:55 7 jun 2022
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Respiratory tract infection		*Respiratory tract infection
	*[[UT]]I/urosepsis		*[[UTI]]/urosepsis
	*[[Pyelonephritis]]		*[[Pyelonephritis]]
	*Intra-abdominal abscess		*Intra-abdominal abscess

2019-10-04T17:45:57Z

Evaluation

← Revisión anterior		Revisión del 17:45 4 oct 2019
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	==Evaluation==		==Evaluation==
	*Evaluate for retained products of conception (e.g. [[pelvic ultrasound]])		*Evaluate for [[retained products of conception]] (e.g. [[pelvic ultrasound]])

	==Management==		==Management==

2019-10-04T02:06:32Z

← Revisión anterior		Revisión del 02:06 4 oct 2019
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	*Manual removal of placenta		*Manual removal of placenta
	*[[Diabetes Mellitus]]		*[[Diabetes Mellitus]]
	*Preterm birth		*[[preterm delivery\|Preterm birth]]
	*[[Bacterial vaginosis]]		*[[Bacterial vaginosis]]
	*Operative vaginal delivery		*Operative vaginal delivery
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	==Clinical Features==		==Clinical Features==
	*[[Fever]]		*[[Fever]]
	*Foul-smelling lochia		*Foul-smelling [[vaginal discharge\|lochia]]
	*[[Leukocytosis]]		*[[Leukocytosis]]
	*Uterine tenderness		*Uterine tenderness
	*Only scant discharge may be present (esp with group B strep)		*Only scant discharge may be present (esp with [[group B strep]])

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
	*Evaluate for retained products of conception		*Evaluate for retained products of conception (e.g. [[pelvic ultrasound]])

	==Management==		==Management==

2017-08-23T12:19:38Z

← Revisión anterior		Revisión del 12:19 23 ago 2017
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	''For endometritis unrelated to pregnancy, see [[Pelvic inflammatory disease (PID)]].''		''For endometritis unrelated to pregnancy, see [[Pelvic inflammatory disease (PID)]].''

	==Background==		==Background<ref>Stevens DL and Bryant A. Pregnancy-related group A streptococcal infection.</ref>==
	*Any postpartum woman with fever should be assumed to have a genital tract infection		*Any postpartum woman with fever should be assumed to have a genital tract infection
			*Postpartum women have a 20-fold increase in invasive group A streptococcal infection compared with nonpregnant women.
	*Most often polymicrobial, requiring broad spectrum antibiotics		*Most often polymicrobial, requiring broad spectrum antibiotics
			*Maternal mortality is highest if infection develops within 4 days of delivery

	===Risk Factors===		===Risk Factors===
	*Cesarean delivery (most important)		*Cesarean delivery (most important)
	*Prolonged labor		*Prolonged labor
	*Prolonged rupture of membranes		*Prolonged or premature rupture of membranes
	*Internal fetal or uterine monitoring		*Internal fetal or uterine monitoring
	*Large amount of meconium in amniotic fluid		*Large amount of meconium in amniotic fluid

2017-06-04T19:13:30Z

← Revisión anterior		Revisión del 19:13 4 jun 2017
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			''For endometritis unrelated to pregnancy, see [[Pelvic inflammatory disease (PID)]].''

	==Background==		==Background==
	*Any postpartum woman with fever should be assumed to have a genital tract infection		*Any postpartum woman with fever should be assumed to have a genital tract infection
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	*Colonization with [[Group B Strep]]		*Colonization with [[Group B Strep]]

	~~<br />~~		==Clinical Features==

	==~~Evaluation~~==
	*[[Fever]]		*[[Fever]]
	*Foul-smelling lochia		*Foul-smelling lochia
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	*Uterine tenderness		*Uterine tenderness
	*Only scant discharge may be present (esp with group B strep)		*Only scant discharge may be present (esp with group B strep)
	*Evaluate for retained products of conception

	==Differential Diagnosis==		==Differential Diagnosis==
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	{{Postpartum emergencies DDX}}		{{Postpartum emergencies DDX}}

			==Evaluation==
			*Evaluate for retained products of conception

	==Management==		==Management==
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	==References==		==References==
			<references/>

	*Watts D et al. Bacterial vaginosis as a risk factor for post-cesarean endometritis. Obstet Gynecol. 1990 Jan; 75(1): 52-8.
	*Smaill F et al. Antibiotic prophylaxis for cesarean section. Cochrane Database Syst Rev. 2002;(3):CD000933.

	[[Category:OBGYN]]		[[Category:OBGYN]]
	[[Category:ID]]		[[Category:ID]]

2016-07-24T15:54:44Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-14T00:00:59Z

Disposition

← Revisión anterior		Revisión del 00:00 14 jul 2016
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	==Disposition==		==Disposition==
	*Consult OB/GYN first if are considering ~~outpt~~ management		*Consult OB/GYN first if are considering outpatient management
	*Admit all patients who appear ill, have had a C-section, or underlying comorbid conditions		*Admit all patients who appear ill, have had a C-section, or underlying comorbid conditions

2016-07-14T00:00:39Z

Differential Diagnosis

← Revisión anterior		Revisión del 00:00 14 jul 2016
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Respiratory tract infection		*Respiratory tract infection
	*~~UTI~~/urosepsis		*[[UT]]I/urosepsis
	*Pyelonephritis		*[[Pyelonephritis]]
	*Intra-abdominal abscess		*Intra-abdominal abscess
	*Thrombophlebitis		*[[Thrombophlebitis]]

	{{Postpartum emergencies DDX}}		{{Postpartum emergencies DDX}}