Endometritis Flashcards Preview

Women's Health > Endometritis > Flashcards

Flashcards in Endometritis Deck (8):
1

What is post partum endometritis?

Infection of the decidua (i.e. pregnancy endometrium). May extend into myometrium.

2

What are the common aetiologies of post-partum endometritis?

Polymicrobial involving 2-3 aerobes and anaerobes from the genital tract

3

RFx for postpartum endometritis?

- LUSCS
- Chorioamnionitis
- Prolonged labour / ROM
- Multiple examinations
- Internal foetal monitoring
- Large meconium
- Manual removal of placenta
- Low SES
- GDM
- Preterm birth
- Operative vaginal delivery
- Post term pregnancy
- HIV infection
- GBS

4

Key CFx in postpartum endometritis?

- Fever
- Tachycardia (parallels temperature)
- Midline lower abdo pain
- Uterine tenderness
Plus (in some):
- purulent lochia
- chills /rigors
- HA / LoA / lethargy

5

What infectious foci should be excluded prior to diagnosing endometritis?

- Surgical site infection (LUSCS, epis)
- Mastitis / abscess
- Pyelonephritis
- Aspiration pneumonia
- Complication of spinal / epidural

6

Should endometrial culture be obtained?

No due to difficulty obtaining specimen through the cervix; results too late for clinical use.

7

What Ix should be performed?

- Cervical / HVS for gonorrhoea and chlamydia if not done, previously positive, or high risk
- Endometrial sample not routine

8

Abx for endoemtritis?

Need to cover beta-lactamase producing anaerobes.
IV Clindamycin + Gentamicin 24-48h and until no fundal tenderness