How is endometritis differentiated from postpartum hemorrhage (PPH)?

Updated: Jan 02, 2018
  • Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE  more...
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Consider uterine infection, or endometritis, particularly with late postpartum hemorrhage. Signs and symptoms that should peak the clinical suspicion for this diagnosis include fever, chills, foul discharge, tender abdomen/uterus, and elevated WBC count with a differential favoring bacterial infection (neutrophilia with or without bands). Start early broad-spectrum antibiotic coverage and consider sepsis.

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