What are major risk factors for endometritis associated with pregnancy?

Updated: Apr 25, 2019
  • Author: Michel E Rivlin, MD; Chief Editor: Michel E Rivlin, MD  more...
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Answer

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


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