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Endometritis
Aka: Endometritis, Endomyometritis
- See Also
- Postpartum Endometritis
- Endometritis Management
- Causes
- Pelvic Inflammatory Disease
- Postpartum
- Chorioamnionitis
- Endometritis
- Early Postpartum (<48 hours) after C-Section
- Late Postpartum (48 hours - 6 weeks) after NSVD
- Uterine instrumentation
- Septic Abortion
- Pathophysiology
- Bacterial Infection of the Uterus
- Bacteroides
- Group B Streptococcus
- Group A Streptococcus
- Enterobacteriaceae
- Chlamydia trachomatis
- M. hominis
- Symptoms
- Lower abdominal cramps
- Foul Vaginal Discharge
- Nausea and Vomiting
- Signs
- Fever
- Lower abdominal tenderness and Muscle spasm
- Cervical motion tenderness
- Labs
- Complete Blood Count
- Leukocytosis
- Gram Stain and culture of cervical discharge
- Gonorrhea Culture
- Chlamydia swab
- Management
- See Endometritis Management
- Inpatient (Indicated in most cases)
- Option 1
- Cefoxitin OR Timentin OR Imipenem OR Unasyn AND
- Doxycycline
- Option 2
- Clindamycin AND
- Ceftriaxone OR Cefotaxime OR Gentamycin
- Outpatient (Indicated for late Postpartum Endometritis)
- Non-lactating mother
- Doxycycline 100 mg q12h IV or PO for 14 days
- Lactating mother
- Doxycycline
- Pump and dispose of milk
- Clindamycin may be effective