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Postpartum Endometritis

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21. Immediate Postpartum Long-Acting Reversible Contraception

, the IUD is inserted after removal of the placenta and after the uterus has become hemostatic. After initiating closure of the uterine incision, the IUD is placed at the fundus with the inserter, manually, or with a ring forceps, and the string gently placed manually or with ring forceps into the cervix. After this is accomplished, hysterotomy closure can be completed. Immediate postpartum insertion is contraindicated among women in whom peripartum chorioamnionitis, endometritis, or puerperal sepsis (...) Immediate Postpartum Long-Acting Reversible Contraception Immediate Postpartum Long-Acting Reversible Contraception - ACOG Menu ▼ Immediate Postpartum Long-Acting Reversible Contraception Page Navigation ▼ Number 670, August 2016 (Reaffirmed 2018) Committee on Obstetric Practice The American College of Nurse–Midwives and the Society for Maternal–Fetal Medicine endorse this document. The American Academy of Family Physicians and the Association of Women’s Health, Obstetric and Neonatal Nurses

2016 American College of Obstetricians and Gynecologists

22. The impact of mechanical cervical dilatation during elective cesarean section on postpartum scar integrity: a randomized double-blind clinical trial. Full Text available with Trip Pro

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 Controlled trial quality: predicted high

23. 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

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

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 Controlled trial quality: uncertain

25. 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

26. Incidence of postpartum infection, outcomes and associated risk factors at Mbarara regional referral hospital in Uganda. Full Text available with Trip Pro

%) 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

27. Postpartum Invasive Group A Streptococcus Infection: Case Report and Mini-review Full Text available with Trip Pro

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

28. Improved detection of biomarkers in cervico-vaginal mucus (CVM) from postpartum cattle Full Text available with Trip Pro

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

29. Postpartum septic pelvic thrombophlebitis after caesarean delivery: a case report Full Text available with Trip Pro

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

30. Safety of a condom uterine balloon tamponade (ESM-UBT) device for uncontrolled primary postpartum hemorrhage among facilities in Kenya and Sierra Leone. Full Text available with Trip Pro

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

31. Antimicrobial-resistant infections among postpartum women at a Ugandan referral hospital. Full Text available with Trip Pro

recorded developed postpartum fever or hypothermia; blood and urine samples were collected from 174 (85%), and 17 others were evaluated clinically. Eighty-four (48%) had at least one confirmed source of infection: 39% (76/193) clinical postpartum endometritis, 14% (25/174) urinary tract infection (UTI), 3% (5/174) bloodstream infection. Another 3% (5/174) had malaria. Overall, 30/174 (17%) had positive blood or urine cultures, and Acinetobacter species were the most common bacteria isolated. Of 25 Gram (...) Antimicrobial-resistant infections among postpartum women at a Ugandan referral hospital. Puerperal sepsis causes 10% of maternal deaths in Africa, but prospective studies on incidence, microbiology and antimicrobial resistance are lacking.We performed a prospective cohort study of 4,231 Ugandan women presenting to a regional referral hospital for delivery or postpartum care, measured vital signs after delivery, performed structured physical exam, symptom questionnaire, and microbiologic

2017 PLoS ONE

32. Determination of ceruloplasmin, some other acute phase proteins, and biochemical parameters in cows with endometritis Full Text available with Trip Pro

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

33. Clinical and subclinical endometritis induced alterations in bovine endometrial transcriptome and miRNome profile Full Text available with Trip Pro

and subclinical endometritis. For this, Holstein Frisian cows at 42-60 days postpartum were classified as healthy (HE), subclinical endometritis (SE) or clinical endometritis (CE) based on veterinary clinical examination of the animals and histological evaluation the corresponding endometrial biopsies. Endometrial transcriptome and miRNome profile changes and associated molecular pathways induced by subclinical or clinical endometritis were then investigated using GeneChip® Bovine Genome Array and Exiqon (...) Clinical and subclinical endometritis induced alterations in bovine endometrial transcriptome and miRNome profile Clinical and subclinical endometritis are known to affect the fertility of dairy cows by inducing uterine inflammation. We hypothesized that clinical or subclinical endometritis could affect the fertility of cows by disturbing the molecular milieu of the uterine environment. Here we aimed to investigate the endometrial molecular signatures and pathways affected by clinical

2016 BMC genomics

34. Randomized clinical trial of intrauterine cephapirin infusion in dairy cows for the treatment of purulent vaginal discharge and cytological endometritis. Full Text available with Trip Pro

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 Controlled trial quality: uncertain

35. 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

36. Effects of chromium propionate supplementation during the periparturient period and early lactation on metabolism, performance, and cytological endometritis in dairy cows. Full Text available with Trip Pro

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 Controlled trial quality: uncertain

37. Effects of hydroxy trace minerals on oxidative metabolism, cytological endometritis, and performance of transition dairy cows. Full Text available with Trip Pro

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 Controlled trial quality: uncertain

38. Endometritis (Overview)

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

39. Endometritis (Follow-up)

, Bavaro MF, You WB. Postpartum herpes simplex virus endometritis and disseminated infection in both mother and neonate. Obstet Gynecol . 2012 Aug. 120(2 Pt 2):471-3. . Onuigbo W, Esimai B, Nwaekpe C, Chijioke G. Tubercular endometritis detected through Pap smear campaign in Enugu, Nigeria. Pan Afr Med J . 2012. 11:47. . Saracoglu OF, Mungan T, Tanzer F. Pelvic tuberculosis. Int J Gynaecol Obstet . 1992 Feb. 37(2):115-20. . Ness RB, Soper DE, Holley RL, Peipert J, Randall H, Sweet RL, et al. Douching (...) -stage vs first-stage caesarean delivery: Comparison of maternal and perinatal outcomes. J Obstet Gynaecol . 2014 Oct. 34(7):598-604. . Haggerty CL, Hillier SL, Bass DC, Ness RB. Bacterial vaginosis and anaerobic bacteria are associated with endometritis. Clin Infect Dis . 2004 Oct 1. 39(7):990-5. . Jacobsson B, Pernevi P, Chidekel L, Jörgen Platz-Christensen J. Bacterial vaginosis in early pregnancy may predispose for preterm birth and postpartum endometritis. Acta Obstet Gynecol Scand . 2002 Nov

2014 eMedicine.com

40. Endometritis (Overview)

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

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