Flashcards in Endometritis Deck (8):
What is post partum endometritis?
Infection of the decidua (i.e. pregnancy endometrium). May extend into myometrium.
What are the common aetiologies of post-partum endometritis?
Polymicrobial involving 2-3 aerobes and anaerobes from the genital tract
RFx for postpartum endometritis?
- Prolonged labour / ROM
- Multiple examinations
- Internal foetal monitoring
- Large meconium
- Manual removal of placenta
- Low SES
- Preterm birth
- Operative vaginal delivery
- Post term pregnancy
- HIV infection
Key CFx in postpartum endometritis?
- Tachycardia (parallels temperature)
- Midline lower abdo pain
- Uterine tenderness
Plus (in some):
- purulent lochia
- chills /rigors
- HA / LoA / lethargy
What infectious foci should be excluded prior to diagnosing endometritis?
- Surgical site infection (LUSCS, epis)
- Mastitis / abscess
- Aspiration pneumonia
- Complication of spinal / epidural
Should endometrial culture be obtained?
No due to difficulty obtaining specimen through the cervix; results too late for clinical use.
What Ix should be performed?
- Cervical / HVS for gonorrhoea and chlamydia if not done, previously positive, or high risk
- Endometrial sample not routine