Diferencia entre revisiones de «Postpartum endometritis»
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Sin resumen de edición |
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| Línea 37: | Línea 37: | ||
*uterine tenderness | *uterine tenderness | ||
*foul lochia | *foul lochia | ||
*mild vaginal bleeding | *mild vaginal bleeding | ||
*NSVD --> late endometritis & polymicrobial | |||
*Csection --> earlier endometrtitis | |||
==Work-Up== | ==Work-Up== | ||
Revisión del 08:51 14 jun 2011
Background
| RF (+no abx prophy) | Rate |
| Nonelective cesarean | 30% |
| Elective cesarean | 7% |
| Vaginal delivery | 3% |
Risk Factors
- Cesarean delivery (most important)***
- Prolonged labor
- Prolonged rupture of membranes
- Multiple cervical examinations
- Internal fetal or uterine monitoring
- Large amount of meconium in amniotic fluid
- Manual removal of the placenta
- Low socioeconomic status
- Maternal diabetes mellitus or severe anemia
- Preterm birth
- Bacterial vaginosis
- Operative vaginal delivery
- Postterm pregnancy
- HIV infection
- Colonization with group B streptococcus
Diagnosis
- fever
- uterine tenderness
- foul lochia
- mild vaginal bleeding
- NSVD --> late endometritis & polymicrobial
- Csection --> earlier endometrtitis
Work-Up
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DDx
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Treatment
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Disposition
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Evidence Based Questions
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See Also
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Source
Adapted from ....(insert)