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...
  • Print
Answer

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.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!