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Puerperal endometritis

MedGen UID:
542397
•Concept ID:
C0269932
•
Disease or Syndrome
Synonyms: Postpartum Endometritis; Postpartum endometritis; Puerperal Endometritis
SNOMED CT: Puerperal endometritis (22399000); Postpartum endometritis (22399000)

Definition

Infection of the endometrium, decidua and/or myometrium occurring at any time between birth and 42 days postpartum. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPuerperal endometritis

Professional guidelines

PubMed

Antibiotic treatment of women with isolated intrapartum fever vs clinical chorioamnionitis: maternal and neonatal outcomes.
Abu Shqara R, Glikman D, Jad S, Rechnitzer H, Lowenstein L, Frank Wolf M
Am J Obstet Gynecol 2023 Nov;229(5):540.e1-540.e9. Epub 2023 Jul 4 doi: 10.1016/j.ajog.2023.05.013. PMID: 38051599
Pregnancy and extrahepatic portal hypertension. Review and report on the management.
Pajor A, Lehoczky D
Gynecol Obstet Invest 1990;30(4):193-7. doi: 10.1159/000293268. PMID: 2289698

Recent clinical studies

Etiology

Incidence of maternal peripartum infection: A systematic review and meta-analysis.
Woodd SL, Montoya A, Barreix M, Pi L, Calvert C, Rehman AM, Chou D, Campbell OMR
PLoS Med 2019 Dec;16(12):e1002984. Epub 2019 Dec 10 doi: 10.1371/journal.pmed.1002984. PMID: 31821329Free PMC Article
Maternal Sepsis and Septic Shock.
Chebbo A, Tan S, Kassis C, Tamura L, Carlson RW
Crit Care Clin 2016 Jan;32(1):119-35. Epub 2015 Oct 19 doi: 10.1016/j.ccc.2015.08.010. PMID: 26600449
Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study.
Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, Yamdamsuren B, Temmerman M, Say L, Tunçalp Ö, Vogel JP, Souza JP, Mori R; WHO Multicountry Survey on Maternal Newborn Health Research Network
BJOG 2014 Mar;121 Suppl 1:40-8. doi: 10.1111/1471-0528.12630. PMID: 24641534
Antibiotic selection in obstetric patients.
Duff P
Infect Dis Clin North Am 1997 Mar;11(1):1-12. doi: 10.1016/s0891-5520(05)70338-x. PMID: 9067781
Risk factors for fever, endometritis and wound infection after abdominal delivery.
Suonio S, Saarikoski S, Vohlonen I, Kauhanen O
Int J Gynaecol Obstet 1989 Jun;29(2):135-42. doi: 10.1016/0020-7292(89)90843-6. PMID: 2568288

Diagnosis

Assessing South African medical interns' experience and confidence in managing obstetric emergencies.
Miller AC, Mayanja FJLB, Porter JD
S Afr Med J 2021 Nov 5;111(11):1098-1103. doi: 10.7196/SAMJ.2021.v111i11.15897. PMID: 34949276
Prophylactic cefazolin in amnioinfusions administered for meconium-stained amniotic fluid.
Edwards RK, Duff P
Infect Dis Obstet Gynecol 1999;7(3):153-7. doi: 10.1002/(SICI)1098-0997(1999)7:3<153::AID-IDOG7>3.0.CO;2-2. PMID: 10371474Free PMC Article
Risk factors for fever, endometritis and wound infection after abdominal delivery.
Suonio S, Saarikoski S, Vohlonen I, Kauhanen O
Int J Gynaecol Obstet 1989 Jun;29(2):135-42. doi: 10.1016/0020-7292(89)90843-6. PMID: 2568288
Diagnosis of septic pelvic thrombophlebitis by measurement of fibrinopeptide A.
Weiner CP, Kwaan H, Duboe F
Am J Perinatol 1985 Apr;2(2):93-5. doi: 10.1055/s-2007-999922. PMID: 4096764
Etiological factors in tubal infertility.
Trimbos-Kemper T, Trimbos B, van Hall E
Fertil Steril 1982 Mar;37(3):384-8. doi: 10.1016/s0015-0282(16)46100-5. PMID: 7060789

Therapy

Incidence of maternal peripartum infection: A systematic review and meta-analysis.
Woodd SL, Montoya A, Barreix M, Pi L, Calvert C, Rehman AM, Chou D, Campbell OMR
PLoS Med 2019 Dec;16(12):e1002984. Epub 2019 Dec 10 doi: 10.1371/journal.pmed.1002984. PMID: 31821329Free PMC Article
Maternal Sepsis and Septic Shock.
Chebbo A, Tan S, Kassis C, Tamura L, Carlson RW
Crit Care Clin 2016 Jan;32(1):119-35. Epub 2015 Oct 19 doi: 10.1016/j.ccc.2015.08.010. PMID: 26600449
Antibiotic selection in obstetric patients.
Duff P
Infect Dis Clin North Am 1997 Mar;11(1):1-12. doi: 10.1016/s0891-5520(05)70338-x. PMID: 9067781
The aminoglycosides.
Duff P
Obstet Gynecol Clin North Am 1992 Sep;19(3):511-7. PMID: 1436928
A clinical and microbiologic analysis of risk factors for puerperal endometritis.
Newton ER, Prihoda TJ, Gibbs RS
Obstet Gynecol 1990 Mar;75(3 Pt 1):402-6. PMID: 2406660

Prognosis

Antibiotic treatment of women with isolated intrapartum fever vs clinical chorioamnionitis: maternal and neonatal outcomes.
Abu Shqara R, Glikman D, Jad S, Rechnitzer H, Lowenstein L, Frank Wolf M
Am J Obstet Gynecol 2023 Nov;229(5):540.e1-540.e9. Epub 2023 Jul 4 doi: 10.1016/j.ajog.2023.05.013. PMID: 38051599
Maternal morbidity and mortality associated with interpregnancy interval: cross sectional study.
Conde-Agudelo A, Belizán JM
BMJ 2000 Nov 18;321(7271):1255-9. doi: 10.1136/bmj.321.7271.1255. PMID: 11082085Free PMC Article
Maternal morbidity and mortality associated with multiple gestations.
Conde-Agudelo A, Belizán JM, Lindmark G
Obstet Gynecol 2000 Jun;95(6 Pt 1):899-904. PMID: 10831988
Ampicillin in the treatment of preterm labor: a randomised, placebo-controlled study.
Nadisauskiene R, Bergström S, Kilda A
Gynecol Obstet Invest 1996;41(2):89-92. doi: 10.1159/000292049. PMID: 8838966
A clinical and microbiologic analysis of risk factors for puerperal endometritis.
Newton ER, Prihoda TJ, Gibbs RS
Obstet Gynecol 1990 Mar;75(3 Pt 1):402-6. PMID: 2406660

Clinical prediction guides

Assessing South African medical interns' experience and confidence in managing obstetric emergencies.
Miller AC, Mayanja FJLB, Porter JD
S Afr Med J 2021 Nov 5;111(11):1098-1103. doi: 10.7196/SAMJ.2021.v111i11.15897. PMID: 34949276
Incidence of maternal peripartum infection: A systematic review and meta-analysis.
Woodd SL, Montoya A, Barreix M, Pi L, Calvert C, Rehman AM, Chou D, Campbell OMR
PLoS Med 2019 Dec;16(12):e1002984. Epub 2019 Dec 10 doi: 10.1371/journal.pmed.1002984. PMID: 31821329Free PMC Article
Maternal Sepsis and Septic Shock.
Chebbo A, Tan S, Kassis C, Tamura L, Carlson RW
Crit Care Clin 2016 Jan;32(1):119-35. Epub 2015 Oct 19 doi: 10.1016/j.ccc.2015.08.010. PMID: 26600449
A clinical and microbiologic analysis of risk factors for puerperal endometritis.
Newton ER, Prihoda TJ, Gibbs RS
Obstet Gynecol 1990 Mar;75(3 Pt 1):402-6. PMID: 2406660
Risk factors for fever, endometritis and wound infection after abdominal delivery.
Suonio S, Saarikoski S, Vohlonen I, Kauhanen O
Int J Gynaecol Obstet 1989 Jun;29(2):135-42. doi: 10.1016/0020-7292(89)90843-6. PMID: 2568288

Recent systematic reviews

Incidence of maternal peripartum infection: A systematic review and meta-analysis.
Woodd SL, Montoya A, Barreix M, Pi L, Calvert C, Rehman AM, Chou D, Campbell OMR
PLoS Med 2019 Dec;16(12):e1002984. Epub 2019 Dec 10 doi: 10.1371/journal.pmed.1002984. PMID: 31821329Free PMC Article

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