Postpartum Endometritis

Causes

Postpartum endometriosis is caused by bacteria that may be in the mother before childbirth. Bacteria could also enter the body during childbirth.

Risk Factors

Things that may raise the risk of postpartum endometriosis are:

• Health problems like diabetes and anemia
• Immune system problems
• Vaginal infection
• Smoking
• Lack of prenatal care

Things during delivery that could raise the risk of postpartum endometriosis are:

• Cesarean section delivery
• Postpartum hemorrhage
• Being in labor for a long time
• Membranes that are broken for a long time during labor
• Devices put in the uterus before, during, or after birth
• Newborn stool (meconium) in amniotic fluid
• Placenta pieces that may remain in the uterus after delivery
• Bacterial infection of the membranes and amniotic fluid

Symptoms

Symptoms may start 2 days to 6 weeks after giving birth. They include:

• Fever and chills
• Belly pain and tenderness
• Foul smell or blood coming from the vagina
• Pain when passing urine (pee)

Diagnosis

The doctor will ask about symptoms and past health. A physical exam will be done. The diagnosis is often based on symptoms and recent childbirth. Tests to look for the kind of bacteria causing the problem include:

• Urine tests and cultures
• Blood tests

Treatment

The goal of treatment is to get rid of the infection. This is done with antibiotics.

Prevention

Not all infections can be prevented. Medical care while pregnant may help lower the chance of some infections. Medicine may be given before a cesarean section to reduce the risk.