Endometritis after childbirth

-Endometritis is the inflammation and infection of the inner lining of the uterus.

-Postpartum endometritis is defined as an oral temperature of ≥38.0 °C [≥100.4 °F] or more on any 2 of the first 10 days postpartum, exclusive of the first 24 hours).

-The most common cause of infection after childbirth.

-The most important risk factor for development of postpartum endometritis: C-section

-Diagnosis depends on clinical criteria: postpartum woman with fever, uterine tenderness, foul lochia, chills, lower abdominal pain

-Labs may show a rising neutrophil count, elevated bands, but don’t rely on them.

-Treatment: Broad spectrum antibiotics: Clindamycin, gentamicin, ampicillin-sulbactam, vancomycin