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Postpartum Endometritis

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21. Endometritis Antibiotic Management

Endometritis Antibiotic Management Endometritis Antibiotic Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Endometritis (...) Antibiotic Management Endometritis Antibiotic Management Aka: Endometritis Antibiotic Management , Chorioamnionitis Antibiotic Management From Related Chapters II. Management: Antibiotics Common Protocol 2 g IV every 6 hours Gentamycin 1.5 mg/kg (Maximum 80-100 mg) q8 hours Adjust dosing per kinetics if >1-2 days use Alternative Medications Mezlocillin 3 grams IV every 4 hours 3 grams IV every 4 hours 3.1 grams IV every 6 hours 3 grams IV every 4-6 hours III. Management: Antibiotics added anaerobic

2018 FP Notebook

22. The impact of mechanical cervical dilatation during elective cesarean section on postpartum scar integrity: a randomized double-blind clinical trial. (Full text)

The impact of mechanical cervical dilatation during elective cesarean section on postpartum scar integrity: a randomized double-blind clinical trial. The current study aimed to evaluate the impact of mechanical cervical dilatation during elective cesarean section (CS) on postpartum scar integrity at 6 months post operation.A randomized double-blind clinical trial (UMIN000027946) was conducted at a tertiary university hospital in the period between July 1, 2017 and April 30, 2018. The study (...) regarding the rate of wound infection or endometritis in both the groups (P=0.717 and 0.227, respectively). The incidence of febrile morbidity was higher in the no cervical dilatation group (10.5%) compared to (5.0%) the cervical dilatation group (P=0.045).Cervical dilatation during elective CS is associated with thick scars with low incidence of scar defects.

2019 International journal of women's health PubMed

23. Insights into bovine endometritis with special reference to phytotherapy (Full text)

Insights into bovine endometritis with special reference to phytotherapy Postpartum reproductive disorders cause heavy economic losses in dairy sector. Uterine infections include endometritis, metritis, mucometra, and pyometra. Postpartum endometritis in dairy cows has been defined as inflammation of endometrium occurring 21 days or more after parturition without systemic signs of illness. The treatment of endometritis with antimicrobials has met with varying degrees of success, inconsistent (...) recovery rate, high cost of treatment, milk disposal, emergence of microbial resistance, and reduced phagocytic activity of polymorphonuclear leukocytes In our country, around 20,000 medicinal plant species have been recorded, but more than 500 traditional communities use about 800 plant species for curing different diseases. Many herbs such as garlic, neem, ashwagandha, and turmeric have been tried for the treatment of endometritis in cows with a good success.

2017 Veterinary world PubMed

24. Postpartum Endometritis

Postpartum Endometritis Postpartum Endometritis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Postpartum Endometritis Postpartum (...) Endometritis Aka: Postpartum Endometritis , Postpartum Endomyometritis , Endomyometritis From Related Chapters II. Definition Postpartum Endometritis Postpartum uterine infection of the endometrial cavity Uterine infection of the endometrial cavity and the uterine wall (typically after ) III. Epidemiology Onset postpartum (days 5 to 21 after delivery) IV. Pathophysiology Polymicrobial material into amniotic fluid V. Causes Most common organism in the first 24 hours postpartum Mixed anaerobic and aerobic

2015 FP Notebook

25. Evaluation of the effectiveness of intrauterine treatment with formosulphathiazole of clinical endometritis in postpartum dairy cows. (PubMed)

Evaluation of the effectiveness of intrauterine treatment with formosulphathiazole of clinical endometritis in postpartum dairy cows. In cattle, elimination of bacterial contamination from the uterine lumen after parturition is often delayed or compromised, and pathogenic bacteria can persist, causing uterine disease and infertility. The aim of this study was to compare the clinical and bacteriologic recovery following a single intrauterine administration of formosulphatiazole, cephapirin (...) or placebo in cows with clinical endometritis. Cows (n = 80), no less than 28 days postpartum, with clinical endometritis were enrolled in the study. Endometritis was diagnosed by a complete reproductive examination, including rectal palpation, ultrasonography, vaginoscopy and uterine swab. All cows were randomly assigned to receive one of three intrauterine treatments (T0): 2500 mg of formosulphatiazole (Group A); 500 mg of cephapirin (Group B); placebo (4250 mg of propylene glycol; Group C). Cows were

2012 Theriogenology

26. Early vs. Interval Postpartum IUD Insertion

or equal to 18 years English or Spanish speaking Exclusion Criteria: Uterine anomaly or leiomyomata which would not allow placement of an IUD Desire for repeat pregnancy in less than 6 months Evidence of intrauterine infection (chorioamnionitis or postpartum endometritis) treated with antibiotics Ruptured uterus at the time of delivery Received a postpartum tubal ligation or immediate postpartum IUD or implant at delivery Incarcerated women or women with significant cognitive impairment 4th degree (...) Early vs. Interval Postpartum IUD Insertion Early vs. Interval Postpartum IUD Insertion - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Early vs. Interval Postpartum IUD Insertion (EPPIUD) The safety

2018 Clinical Trials

27. Incidence of postpartum infection, outcomes and associated risk factors at Mbarara regional referral hospital in Uganda. (Full text)

%) underwent full clinical and microbiological evaluation for infection, and an additional 24 (12%) had a partial evaluation. Overall, 84/4231 (2%) of participants met criteria for one or more in-hospital postpartum infections. Endometritis was the most common, identified in 76/193 (39%) of women evaluated clinically. Twenty-five of 175 (14%) participants with urinalysis and urine culture results met criteria for urinary tract infection. Bloodstream infection was diagnosed in 5/185 (3%) participants (...) Incidence of postpartum infection, outcomes and associated risk factors at Mbarara regional referral hospital in Uganda. There is a paucity of recent prospective data on the incidence of postpartum infections and associated risk factors in sub-Saharan Africa. Retrospective studies estimate that puerperal sepsis causes approximately 10% of maternal deaths in Africa.We enrolled 4231 women presenting to a Ugandan regional referral hospital for delivery or postpartum care into a prospective cohort

2018 BMC Pregnancy and Childbirth PubMed

28. Postpartum Invasive Group A Streptococcus Infection: Case Report and Mini-review (Full text)

Postpartum Invasive Group A Streptococcus Infection: Case Report and Mini-review The overall incidence of postpartum invasive group A streptococcal (GAS) disease is low in the United States. However, postpartum women are much more likely to develop GAS disease than nonpregnant women. Additionally, postpartum GAS has the potential to develop into a severe disease and a delay in diagnosis can have deadly consequences. This case describes a patient with invasive postpartum endometritis (...) in the setting of diastases of the pubic symphysis. Sepsis secondary to the endometritis develops along with bilateral pneumonia. This case characterizes some of the typical and atypical symptoms a patient with invasive postpartum GAS can present with. Further, it outlines the timely identification of the disease and its appropriate treatment to prevent a potentially disastrous outcome.

2018 Cureus PubMed

29. Improved detection of biomarkers in cervico-vaginal mucus (CVM) from postpartum cattle (Full text)

week postpartum may identify cows at risk of developing clinical endometritis. (...) Improved detection of biomarkers in cervico-vaginal mucus (CVM) from postpartum cattle In the postpartum cow, early diagnosis of uterine disease is currently problematic due to the lack of reliable, non-invasive diagnostic methods. Cervico-vaginal mucus (CVM) is an easy to collect potentially informative source of biomarkers for the diagnosis and prognosis of uterine disease in cows. Here, we report an improved method for processing CVM from postpartum dairy cows for the measurement of immune

2018 BMC veterinary research PubMed

30. Postpartum septic pelvic thrombophlebitis after caesarean delivery: a case report (Full text)

Postpartum septic pelvic thrombophlebitis after caesarean delivery: a case report Septic pelvic thrombophlebitis is a rare puerperal complication. It is an important differential diagnosis of postpartum fever and abdominal pain and although the condition is well known its diagnosis can be challenging. We report a case of a 41-year-old woman with fever and right abdominal pain three days after an uncomplicated caesarean delivery. Clinical, laboratory and imaging exams were unremarkable (...) and the patient was treated for endometritis. In the absence of improvement despite an antibiotic adjustment, a clinical diagnosis of septic pelvic thrombophlebitis was made, and the patient presented a good response to anticoagulation in conjunction with broad-spectrum antibiotic therapy.

2018 Case Reports in Women's Health PubMed

31. Safety of a condom uterine balloon tamponade (ESM-UBT) device for uncontrolled primary postpartum hemorrhage among facilities in Kenya and Sierra Leone. (Full text)

Safety of a condom uterine balloon tamponade (ESM-UBT) device for uncontrolled primary postpartum hemorrhage among facilities in Kenya and Sierra Leone. Postpartum hemorrhage is the leading cause of maternal mortality in low- and middle-income countries. While evidence on uterine balloon tamponade efficacy for severe hemorrhage is encouraging, little is known about safety of this intervention. The objective of this study was to evaluate the safety of an ultra-low-cost uterine balloon tamponade (...) package (named ESM-UBT) for facility-based management of uncontrolled postpartum hemorrhage (PPH) in Kenya and Sierra Leone.Data were collected on complications/adverse events in all women who had an ESM-UBT device placed among 92 facilities in Sierra Leone and Kenya, between September 2012 and December 2015, as part of a multi-country study. Three expert maternal health investigator physicians analyzed each complication/adverse event and developed consensus on whether there was a potential causal

2018 BMC Pregnancy and Childbirth PubMed

32. Postpartum Nursing Care Pathway

of HIV and the risks • involved Capacity to follow through with any • current treatment Capacity to identify variances that • may require further assessments and/or treatments norm and normal Variations No HIV present • Client education/Anticipatory Guidance For women who are HIV positive: • Advise not to breastfeed (in Canada) Virus may be transferred in breastmilk Higher rate for postpartum infections (wound, endometritis) Variance HIV present • Risk factors present or infectious • status (...) Postpartum Nursing Care Pathway Introduction About the Maternal Postpartum Nursing Care Pathway 2 Who updated the Maternal Postpartum Nursing Care Pathway 2 Women-Centred Care 2 Referring to a Primary Health Care Provider (PHCP) 3 Referrals to Other Resources 3 Goals and Needs – Health Canada’s National Guidelines 3 Needs – World Health Organization 4 Timeframes 4 Maternal Physiological Stability 4 Postpartum Pain Scale (VAS) 5 Sedation Scale 5 Physiological Health Abdomen/Fundus 7 Pain 8

2011 British Columbia Perinatal Health Program

33. Determination of ceruloplasmin, some other acute phase proteins, and biochemical parameters in cows with endometritis (Full text)

Determination of ceruloplasmin, some other acute phase proteins, and biochemical parameters in cows with endometritis The aim of this study is to determine serum ceruloplasmin levels in cows with endometritis of varying degrees of severity and to establish whether or not there is a correlation between acute phase protein (APP) levels and biochemical parameters.The study was conducted with 100 Brown Swiss cows (3-8 years of age) on days 28-32 postpartum. Cows were divided into endometritis (mild (...) , moderate, and severe endometriosis) and healthy groups based on ultrasonography, vaginoscopy, and cytological examination. Blood samples were collected from all cows. Levels of haptoglobin (Hp), serum amyloid A (SAA), ceruloplasmin, albumin, and some biochemical parameters were analyzed.Hp, SAA, and ceruloplasmin levels were higher in cows with endometritis than in healthy cows (p=0.001), and the levels of these APPs increased as endometritis became more severe (p=0.001). Some significant correlations

2016 Veterinary world PubMed

34. Randomized clinical trial of intrauterine cephapirin infusion in dairy cows for the treatment of purulent vaginal discharge and cytological endometritis. (Full text)

Randomized clinical trial of intrauterine cephapirin infusion in dairy cows for the treatment of purulent vaginal discharge and cytological endometritis. The objectives of this study were to quantify the effect of an intrauterine infusion of cephapirin on reproductive performance at first service of postpartum dairy cows affected by purulent vaginal discharge (PVD) and cytological endometritis (ENDO) using different diagnostic strategies, and to determine if the presence of prolonged (...) anovulation would influence the magnitude of treatment benefit. In total, 2,259 Holstein cows in 28 herds were enrolled in a randomized clinical trial. At 35 (± 7) days in milk (DIM), cows were diagnosed with PVD using the Metricheck device (Simcro, Hamilton, New Zealand), with cytological endometritis using endometrial cytology (ENDO-CYTO), and with cytological endometritis using leukocyte esterase (ENDO-LE). Regardless of reproductive tract disease status, cows were randomly assigned to receive

2015 Journal of dairy science PubMed

35. Effects of chromium propionate supplementation during the periparturient period and early lactation on metabolism, performance, and cytological endometritis in dairy cows. (PubMed)

Effects of chromium propionate supplementation during the periparturient period and early lactation on metabolism, performance, and cytological endometritis in dairy cows. Multiparous Holstein cows (n=61) were used to determine the effects of chromium propionate (Cr-Pro) supplementation during the periparturient period and early lactation on metabolism, performance, and the incidence of cytological endometritis (CE). After a 1-wk preliminary period, cows were assigned randomly to 1 of 2 (...) treatments from 21 d before expected calving through 63 d postpartum: (1) control (n=31) and (2) Cr-Pro (n=30) administered by daily topdress at a rate of 8 mg/d of Cr. A tendency was detected for increased dry matter intake (DMI) during the prepartum period for cows fed Cr-Pro. Moreover, cows fed Cr-Pro tended to have lower plasma concentrations of nonesterified fatty acids during the prepartum period. However, effects of Cr-Pro supplementation on postpartum DMI and milk yield were not significant. Cows

2014 Journal of dairy science

36. Effects of hydroxy trace minerals on oxidative metabolism, cytological endometritis, and performance of transition dairy cows. (PubMed)

Effects of hydroxy trace minerals on oxidative metabolism, cytological endometritis, and performance of transition dairy cows. Multiparous Holstein cows (n=60) were used to determine effects of supplementing hydroxy forms of Zn, Cu, and Mn compared with 2 other common supplementation strategies on oxidative metabolism, cytological endometritis, and performance of transition cows. After a 1-wk pretreatment period, cows were assigned randomly to 1 of 3 dietary treatments from 21 d before expected (...) . Total concentrations of Zn, Cu, and Mn averaged 80, 16, and 62 mg/kg during the prepartum period and 102, 23, and 75 mg/kg, respectively, during the postpartum period. Overall, effects of treatment on milk yield and milk composition were not significant. Cows fed HTM during the prepartum period had higher body weight (BW) than those fed ITM during the prepartum period and had higher BW during the postpartum period than those fed the other treatments; however, BW change, body condition score

2014 Journal of dairy science

37. Treatment Utility of Postpartum Antibiotics in Chorioamnionitis Study. (PubMed)

to either postpartum antibiotic prophylaxis or no treatment following delivery. The primary outcome was the rate of endometritis. Assuming a 30% risk of endometritis in patients with chorioamnionitis who undergo CD, 119 patients per arm would be required to detect a 50% decrease in endometritis. Results The trial was stopped for futility following a planned interim analysis after 80 patients were randomized. There was no difference in the rate of the primary outcome between the two groups (9.8 vs. 7.7 (...) %, relative risk [RR]: 1.27; 95% confidence interval [CI]: 0.30, 5.31). A meta-analysis comparing post-CD antibiotics versus no treatment did not find a statistically significant difference between the groups (16.7 vs. 12.0%, pooled RR: 1.43; 95% CI: 0.72, 2.84). Conclusion Additional postpartum antibiotics do not decrease the rate of endometritis in patients with chorioamnionitis who undergo CD. The current preoperative antibiotic regimen including clindamycin should remain the standard of care

2016 American journal of perinatology

38. Maternal near miss and mortality due to postpartum infection: a cross-sectional analysis from Rwanda. (Full text)

Maternal near miss and mortality due to postpartum infection: a cross-sectional analysis from Rwanda. The objective of this study is to evaluate 'near miss' and mortality in women with postpartum infections.We performed a retrospective review of all patients referred to the University Teaching Hospital of Kigali (CHUK) between January 2012 and December 2013. We identified 117 patients with postpartum infections. Demographic data, length of admission, location of referral, initial surgery (...) and subsequent treatment modalities including antibiotic administration and secondary surgery were recorded. The primary outcome of interest was a composite of maternal mortality and "near miss" defined as more than one laparotomy with/without hysterectomy and prolonged hospitalization.Diagnoses at CHUK were: pelvic peritonitis (56 %), deep surgical site infection including fasciitis (17 %), and endometritis (15 %). The primary procedures performed prior to transfer were: cesarean section (81 %), septic

2016 BMC Pregnancy and Childbirth PubMed

39. Endometritis (Diagnosis)

as acute versus chronic. Acute endometritis is characterized by the presence of neutrophils within the endometrial glands. Chronic endometritis is characterized by the presence of plasma cells and lymphocytes within the endometrial stroma. In the nonobstetric population, pelvic inflammatory disease and invasive gynecologic procedures are the most common precursors to acute endometritis. In the obstetric population, postpartum infection is the most common predecessor. Chronic endometritis (...) is not higher in users of modern intrauterine devices than in non-users. [ , , ] Previous Next: Etiology Endometritis is a polymicrobial disease involving, on average, 2-3 organisms. In most cases, it arises from an ascending infection from organisms found in the normal indigenous vaginal flora. Commonly isolated organisms include Ureaplasma urealyticum, , Gardnerella vaginalis, Bacteroides bivius, and . has been associated with late-onset postpartum endometritis. is identified in up to 25% of women who

2014 eMedicine Pediatrics

40. Endometritis (Diagnosis)

as acute versus chronic. Acute endometritis is characterized by the presence of neutrophils within the endometrial glands. Chronic endometritis is characterized by the presence of plasma cells and lymphocytes within the endometrial stroma. In the nonobstetric population, pelvic inflammatory disease and invasive gynecologic procedures are the most common precursors to acute endometritis. In the obstetric population, postpartum infection is the most common predecessor. Chronic endometritis (...) is not higher in users of modern intrauterine devices than in non-users. [ , , ] Previous Next: Etiology Endometritis is a polymicrobial disease involving, on average, 2-3 organisms. In most cases, it arises from an ascending infection from organisms found in the normal indigenous vaginal flora. Commonly isolated organisms include Ureaplasma urealyticum, , Gardnerella vaginalis, Bacteroides bivius, and . has been associated with late-onset postpartum endometritis. is identified in up to 25% of women who

2014 eMedicine.com

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