Things that may increase the risk of postpartum endometritis include:
- Cesarean section delivery
- Postpartum hemorrhage
- Prolonged labor
- Prolonged ruptured membranes
- Devices inserted into uterus before, during, or after birth
- Newborn stool in amniotic fluid (meconium)
- Pieces of the placenta remain in the mother after birth
- Placenta was removed by hand
- Bacterial infection of the membranes and amniotic fluid—chorioamnionitis
- Presence of a specific bacteria in the vagina
- Lack of proper prenatal care
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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American Congress of Obstetricians and Gynecologists http://www.acog.org
Family Doctor—American Academy of Family Physicians http://www.familydoctor.org
Health Canada https://www.canada.ca/en/health-canada.html
The Society of Obstetricians and Gynaecologists of Canada http://sogc.org
Bratzler DW, Dellinger EP, Olsen KM, et al; American Society of Health-System Pharmacists, Infectious Disease Society of America, Surgical Infection Society, Society for Healthcare Epidemiology of America. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 2013 Feb 1;70(3):195.
Endometritis (postpartum). EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T113859/Endometritis-postpartum . Updated July 23, 2019. Accessed March 19, 2020.
Karsnitz DB. Puerperal infections of the genital tract: a clinical review. J Midwifery Womens Health. 2013 Nov-Dec;58(6):632.
Postpartum endometritis. Patient UK website. Available at: http://patient.info/doctor/postpartum-endometritis. Updated February 24, 2017. Accessed March 19, 2020.