2. Endometritis is inflammation of the
endometrial lining of the uterus.
• Endometritis is inflammation of the
endometrium (the inner lining
of uterus) due to infection. It can be
acute (starts suddenly and is short-
term) or chronic (lasts a long time or
occurs repeatedly). Acute endometritis
can happen after childbirth
or miscarriage, or after a surgical
procedure involving cervix or uterus.
Chronic endometritis is more common
after menopause or if have an infection
like chlamydia or gonorrhea.
• Endometritis isn’t a life-threatening
condition, but it can cause
complications without prompt
treatment (with antibiotics).
3. • Endometritis is most commonly
caused by infection with bacteria,
particularly Escherichia
coli, Mycobacterium
tuberculosis, Enterococcus, Staphyloc
occus, or Streptococcus. It may also
be caused by
sexually transmitted organisms,
including Neisseria gonorrhoeae, the
cause of gonorrhea, and Chlamydia,
which causes a form of endometritis
known as pelvic inflammatory disease.
Endometritis tends to develop
following miscarriage or childbirth,
especially after cesarean section.
5. Symptoms of endometritis include:
Fever.
Pelvic pain.
Vaginal bleeding or discharge.
Constipation or pain with bowel movements.
Swelling in your abdomen.
General unwell feeling.
6. Risk Factors
• Women are particularly vulnerable to endometritis after birth or abortion. In both
the postpartum and postabortal state, risk is increased because of the open
cervical os, presence of large amounts of blood and debris, and uterine
instrumentation.
• Major risk factors for obstetric endometritis include the following:
• Cesarean delivery (especially if before 28 weeks' gestation)
• Prolonged rupture of membranes
• Long labor with multiple vaginal examinations
• Severely meconium-stained amniotic fluid
• Manual placental removal [10]
• Extremes of patient age
• Low socioeconomic status
8. • Testing fluid from vagina for
bacterial or sexually transmitted
infections (STIs) like chlamydia and
gonorrhea.
• Removing tissue from uterus and
testing it for bacteria (biopsy).
• Performing laparoscopy to get a
closer look at uterus.
• Blood tests to look at white blood
counts (WBC) or erythrocyte
sedimentation rate (ESR). High
levels can indicate infection or
inflammation.
• Looking at vaginal fluid under a
microscope.
10. • Gentamicin + Clindamycin :
Magenta-gentleman-mouse and Cleaning-mice The administration of IV gentamicin
plus clindamycin every 8 hours is standard treatment for inpatients. Mild-moderate
disease can be treated outpatient with ceftriaxone and doxycycline.
• Ampicillin-Sulbactam:
Amp-pencil and Soldier-playing-backgammon In the event that there is resistance to
clindamycin, an alternative treatment involves ampicillin-sulbactam (Unasyn) along
with a 10-day course of PO doxycycline in chronic cases. The addition of
metronidazole could also be considered if the patient recently had a gynecological
procedure performed.
