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Postpartum Endometritis

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481. Evidence of Chlamydia infection in a Belfast antenatal population. Full Text available with Trip Pro

Evidence of Chlamydia infection in a Belfast antenatal population. Chlamydia trachomatis is an important cause of postpartum endometritis and neonatal conjunctivitis. However, the prevalence of chlamydial genital infection varies considerably from one population group to another. A study was thus conducted to determine the incidence of C trachomatis infection of the cervix in an unselected group of women attending a Belfast antenatal clinic. One hundred and six patients were screened

1991 The Ulster medical journal

482. Histological and immunocytochemical characterization of Coxiella burnetii-associated lesions in the murine uterus and placenta. Full Text available with Trip Pro

in the placenta were characterized by severe necrosis of the decidua basalis and the labyrinth, fibrinoid degeneration of decidual vessels, and microthrombosis. Pyometra and endometritis at the sites of previous placental attachment, characterized by ulceration, central necrosis, and moderate cellular infiltration consisting of neutrophils and macrophages, were observed postpartum. Pups sacrificed at the age of 9 days exhibited interstitial pneumonia with few granulomas and granulomatous hepatitis

1992 Infection and immunity

483. Systematic review of the literature on postpartum care: effectiveness of interventions for smoking relapse prevention, cessation, and reduction in postpartum women

and be conducted within North America, Europe, Australia or New Zealand. Studies of lactation suppression, endometritis, hypertensive disorders, postoperative analgesia after caesarean section, intrapartum interventions or prenatal interventions were excluded (as they might have impacted on postpartum outcomes). Interventions in the included studies were advice and educational pamphlets, telephone counselling sessions or Smoke Free Children intervention delivered by trained child health nurses. Intervention (...) Systematic review of the literature on postpartum care: effectiveness of interventions for smoking relapse prevention, cessation, and reduction in postpartum women Systematic review of the literature on postpartum care: effectiveness of interventions for smoking relapse prevention, cessation, and reduction in postpartum women Systematic review of the literature on postpartum care: effectiveness of interventions for smoking relapse prevention, cessation, and reduction in postpartum women Levitt

2007 DARE.

484. Antibiotic regimens for endometritis after delivery. (Abstract)

Antibiotic regimens for endometritis after delivery. Post-partum endometritis, which is more common after cesarean section, occurs when vaginal organisms invade the endometrial cavity during labour and delivery. Antibiotic treatment is warranted.The effect of different antibiotic regimens for the treatment of postpartum endometritis on failure of therapy and complications was systematically reviewed.We searched the Cochrane Pregnancy and Childbirth Group's trials register and the Cochrane (...) Controlled Trials Register. Date of last search: August 1999.Randomised trials of different antibiotic regimens for postpartum endometritis, after cesarean section or vaginal delivery, where outcomes of treatment failure or complications were reported were selected.Data were abstracted independently by the reviewers. Comparisons were made between different types of antibiotic regimen, based on type of antibiotic and duration and route of administration. Summary relative risks were calculated.Forty-one

2000 Cochrane

485. Prophylactic antibiotics for the prevention of postpartum infectious morbidity in women infected with human immunodeficiency virus: a randomized controlled trial. (Abstract)

of postpartum endometritis in the cefoxitin group (95% confidence interval, 0.24-0.9).The use of prophylactic intrapartum cefoxitin in HIV-infected women reduces the risk of postpartum endometritis. (...) Prophylactic antibiotics for the prevention of postpartum infectious morbidity in women infected with human immunodeficiency virus: a randomized controlled trial. The purpose of this study was to determine the effect of intrapartum prophylactic antibiotics in the prevention of postpartum sepsis in laboring women who were infected with HIV.In a double-blind, randomized trial that was conducted in Durban (South Africa), pregnant women who were infected with HIV in whom vaginal delivery

2008 American journal of obstetrics and gynecology Controlled trial quality: predicted high

486. Postpartum Haemorrhage

perforation. The patient may require iron supplementation if Hb has fallen. Warn of the risk of constipation. Prognosis 90% of cases of postpartum endometritis treated with antibiotics improve within 48-72 hours. [ ] If this is not the case, the patient should be re-evaluated. Did you find this information useful? Thanks for your feedback! Why not subscribe to the newsletter? Email address * We'd love to send you our articles and latest news by email, giving you the best opportunity to stay up to date (...) haemorrhage in home-birth settings in low-resource countries? A systematic review of the evidence. BJOG. 2013 Feb120(3):277-85 ; Prevention of postpartum haemorrhage with sublingual misoprostol or oxytocin: a double-blind randomised controlled trial. BJOG. 2012 Jul119(8):975-82 ; Antibiotic regimens for endometritis after delivery. Cochrane Database Syst Rev. 2004 Oct 18(4):CD001067. ; Postpartum ultrasound in women with postpartum endometritis, after cesarean section and after manual evacuation

2008 Mentor

487. Epidemiology of and surveillance for postpartum infections. Full Text available with Trip Pro

% following vaginal delivery. Rehospitalization; cesarean delivery; antistaphylococcal antibiotics; diagnosis codes for mastitis, endometritis, and wound infection; and ambulatory blood or wound cultures were important predictors of infection. Use of automated information routinely collected by HMOs and insurers allows efficient identification of postpartum infections not detected by conventional surveillance. (...) Epidemiology of and surveillance for postpartum infections. We screened automated ambulatory medical records, hospital and emergency room claims, and pharmacy records of 2,826 health maintenance organization (HMO) members who gave birth over a 30-month period. Full-text ambulatory records were reviewed for the 30-day postpartum period to confirm infection status for a weighted sample of cases. The overall postpartum infection rate was 6.0%, with rates of 7.4% following cesarean section and 5.5

2001 Emerging Infectious Diseases

488. Ampicillin/sulbactam versus clindamycin in the treatment of postpartum endomyometritis. (Abstract)

to be equally efficacious in the treatment of postpartum endometritis. (...) Ampicillin/sulbactam versus clindamycin in the treatment of postpartum endomyometritis. Sixty-eight patients with postpartum endomyometritis were enrolled in this open randomized comparative study. Forty-two patients received ampicillin/sulbactam and 26 received clindamycin. The cure rates were similar in the two groups: 83% in the ampicillin/sulbactam group and 88% in the clindamycin group. The most frequent endometrial bacterial isolates were Bacteroides bivius, Streptococcus faecalis

1990 Southern medical journal Controlled trial quality: uncertain

489. [Effect of a 10 day postpartum administration of a PGF2 alpha analog at different concentrations on the course of the puerperium and fertility in dairy cows]. (Abstract)

[Effect of a 10 day postpartum administration of a PGF2 alpha analog at different concentrations on the course of the puerperium and fertility in dairy cows]. In this double-blind Study 72 dairy cows were treated with injections of Luprostiol (Reprodin). 32 cows served as control. Gynaecological examinations in 10-day intervals up to day 40 post partum and determination of progesterone levels in milk samples taken in 3-day intervals up to day 73 p. p. were performed. The administration of PGF2 (...) in the placebo group up to day 20 p. p. Until day 40 p. p. the cervical diameters of the probands equaled those of the control animals. In contrary to cows after uncomplicated delivery the injection of PGF2 alpha after complicated parturition lead to a significant (p < 0.05) reduction of puerperal endometritis. Neither in cows with uncomplicated nor complicated delivery the administration of PGF2 alpha resulted in an improved conception rate. There were no significant positive effects on fertility parameters

1999 Tierärztliche Praxis. Ausgabe G, Grosstiere/Nutztiere Controlled trial quality: uncertain

490. Placenta accreta postpartum. (Abstract)

Placenta accreta postpartum. Placenta accreta is the abnormal attachment of the placenta to the uterus. It occurs when the decidua basalis is either absent or incomplete. It is uncommon and most often presents with a retained placenta and hemorrhage.A 29-year-old gravida 1 had an uncomplicated antenatal course and delivery. The third stage of labor was complicated by a retained placenta necessitating manual removal. Her postpartum course was complicated by a persistent endometritis (...) . The diagnosis of placenta accreta was made with the help of sonohysterography.Sonohysterography is a useful tool in discriminating a solid intracavitary mass from a placenta accreta postpartum.

2002 Obstetrics and Gynecology

491. Antibiotic regimens for endometritis after delivery. (Abstract)

Antibiotic regimens for endometritis after delivery. Postpartum endometritis, which is more common after cesarean section, occurs when vaginal organisms invade the endometrial cavity during labor and birth. Antibiotic treatment is warranted.The effect of different antibiotic regimens for the treatment of postpartum endometritis on failure of therapy and complications was systematically reviewed.We searched the Cochrane Pregnancy and Childbirth Group's trials register (30 January 2004 (...) ).Randomized trials of different antibiotic regimens for postpartum endometritis, after cesarean section or vaginal birth, where outcomes of treatment failure or complications were reported were selected.We abstracted data independently and made comparisons between different types of antibiotic regimen based on type of antibiotic and duration and route of administration. Summary relative risks were calculated.Thirty-eight trials with 3983 participants were included. Fifteen studies comparing clindamycin

2004 Cochrane database of systematic reviews (Online)

492. Influence of various treatment methods on bacteriological findings in cows with puerperal endometritis. (Abstract)

Influence of various treatment methods on bacteriological findings in cows with puerperal endometritis. The aim of the study was to identify the species of microorganisms isolated from the uterus of healthy cows (control group) and cows affected with puerperal metritis (PM) before and after an experimental therapy with an immunomodulator and antibiotics versus commonly applied methods (antibiotic + beta-blocker or antibiotic + PGF2alpha). Examinations were carried out on 110 cows with PM (...) in three farms with similar system of rearing and nutrition. The control group consisted of 21 cows without postpartum disturbances. Smears from the uterus were taken before treatment and then at 21st day of observation. Escherichia coli and other species of Enterobacteriaceae family were isolated from 48.2% of PM cows and 47.6% of healthy cows. The degree of Arcanobacterium pyogenes infection was statistically lower in healthy than in sick cows (9.5% versus 30.0%). Streptococcus sp. was isolated from

2004 Polish journal of veterinary sciences Controlled trial quality: uncertain

493. [Treatment of chronic bovine endometritis and factors for treatment success]. (Abstract)

[Treatment of chronic bovine endometritis and factors for treatment success]. In a controlled field trial, 178 dairy cows with chronic endometritis and at least 21 days in lactation were randomly assigned to four different treatment groups: prostaglandin F2alpha intramuscularly (PG, 5 mg dinoprost (5 ml Dinolytic), n = 51), intrauterine antibiotics (AB; 400 mg ampicillin + 800 oxacillin (20 ml Totocillin), n = 49), intrauterine antiseptics (AS; 100 ml 4% Lotagen, n = 50); control (C, no initial (...) . Therefore, factors that might have an influence on clinical cure and fertility were evaluated. With increasing duration of lactation, the clinical cure after a single treatment increased significantly over all treatment groups from 59.5% (treatment before day 42 postpartum) to 79.6% (treatment following day 42 postpartum) (P < 0.05). Within the PG group, a statistically significantly higher cure rate after a single treatment and first service conception rate and a lower pregnancy index were obtained

2005 DTW. Deutsche tierärztliche Wochenschrift Controlled trial quality: uncertain

494. The effect of placental removal method and site of uterine repair on postcesarean endometritis and operative blood loss. (Abstract)

The effect of placental removal method and site of uterine repair on postcesarean endometritis and operative blood loss. Our purpose was to determine whether blood loss during cesarean section and postoperative endometritis rate were associated with the method of placental removal and site of uterine repair.This prospective randomized study involved 840 women who underwent cesarean section. The patients were grouped into four: (1) manual placental delivery + exteriorized uterine repair; (2 (...) ) spontaneous placental delivery + exteriorized uterine repair; (3) manual placental delivery + in situ uterine repair; (4) spontaneous placental delivery + in situ uterine repair. Patients were excluded if they had received intrapartum antibiotics, had chorioamnionitis, required an emergency cesarean hysterectomy, had rupture of membranes for more than 12 hr, had bleeding diathesis, and had abnormal placentation or prior postpartum hemorrhage. The main outcome measures were postoperative hemoglobin

2005 Acta Obstetricia et Gynecologica Scandinavica Controlled trial quality: uncertain

495. Endometrial microbial colonization and plasma cell endometritis after spontaneous or indicated preterm versus term delivery. (Abstract)

Endometrial microbial colonization and plasma cell endometritis after spontaneous or indicated preterm versus term delivery. This study was undertaken to determine whether endometrial microbial colonization or plasma cell endometritis is increased after spontaneous versus indicated preterm delivery or a spontaneous term delivery.Postpartum, endometrial specimens were obtained after a spontaneous (mean 83, +/- 17.6 days) or indicated (mean 83, +/- 16.7 days) preterm delivery before 34 weeks (...) ' gestation and after a spontaneous term delivery (mean 82, +/- 15.7 days; P=.980). Cultures for aerobic and anaerobic bacteria, Trichomonas vaginalis, and genital mycoplasmas were performed. Histologic endometritis was defined as the presence of plasma cells.The study population (n=820) was 71% black, 29% white, 69% unmarried, and 31% had less than 12 years of education. Endometrial cultures were positive for at least 1 microorganism in 82% of the women. No significant difference in positive endometrial

2005 American Journal of Obstetrics and Gynecology

496. A comparison of once-daily and 8-hour gentamicin dosing in the treatment of postpartum endometritis

A comparison of once-daily and 8-hour gentamicin dosing in the treatment of postpartum endometritis A comparison of once-daily and 8-hour gentamicin dosing in the treatment of postpartum endometritis A comparison of once-daily and 8-hour gentamicin dosing in the treatment of postpartum endometritis Del Priore G, Jackson-Stone M, Shim E K, Garfinkel J, Eichmann M A, Frederiksen M C Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS (...) EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Using gentamicin once-daily doses in patients with postpartum endometritis. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population Postpartum women with endometritis diagnosed on clinical finding of fever (either two oral temperatures greater than 38C

1996 NHS Economic Evaluation Database.

497. Endometritis

Endometritis Postpartum Endometritis. About Postpartum Endometritis | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Postpartum Endometritis Authored by , Reviewed by | Last edited 24 Feb 2017 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European (...) Guidelines. You may find the article more useful, or one of our other . In this article In This Article Postpartum Endometritis In this article Definition Endometritis refers to infection or inflammation of the endometrium, the inner lining of the uterus. It can be divided into pregnancy-related (obstetric) or non-obstetric. Pathologically, it can be described as acute and chronic: Acute endometritis is characterised by the presence of more than five neutrophils in a 400 power field in the endometrial

2008 Mentor

498. Adjunctive intravaginal metronidazole for the prevention of postcesarean endometritis: a randomized controlled trial. (Abstract)

morbidity, wound infection, days on antibiotics, and length of postpartum hospitalization. Neonatal outcomes included birth weight, Apgar scores less than 7 at 5 minutes, umbilical arterial pH less than 7.16, admission and length of stay in the neonatal intensive care unit, and length of hospital stay.Of 112 patients receiving metronidazole, eight (7%) developed postcesarean endometritis, compared with 19 of 112 (17%) of those receiving placebo gel (relative risk 0.42, 95% confidence interval 0.19, 0.92 (...) Adjunctive intravaginal metronidazole for the prevention of postcesarean endometritis: a randomized controlled trial. To estimate the efficacy of preoperative administration of intravaginal metronidazole for the prevention of postcesarean endometritis.This double-masked, placebo-controlled randomized trial included patients of at least 24 weeks' gestation undergoing cesarean deliveries for various indications. Patients were randomized to receive either 5 g of metronidazole gel intravaginally

2001 Obstetrics and Gynecology Controlled trial quality: predicted high

499. Does uterine wiping influence the rate of post-Cesarean endometritis? (Abstract)

Does uterine wiping influence the rate of post-Cesarean endometritis? To compare two methods of uterine cleansing to remove residual amnion-chorion at the time of Cesarean delivery.All consenting uninfected parturients undergoing a non-emergency Cesarean delivery at the university were enrolled. All patients received antibiotic prophylaxis of a 1-g intravenous bolus of a first-generation cephalosporin immediately after cord clamping. Postpartum endometritis was defined as a temperature (...) including gestational age at time of Cesarean section, type of anesthesia used for the operative delivery, hours of amnion rupture prior to delivery, use of internal monitoring devices, type of skin incision, method of placental removal, total operative time and estimated blood loss were similar between patient groups (NS). An almost identical number of patients in each arm of the study developed post-Cesarean endometritis (65 out of 614, 10.5%, in the uterine wipe group vs. 66 out of 616, 10.7

2001 The Journal of maternal-fetal medicine Controlled trial quality: uncertain

500. The effect of treatment of clinical endometritis on reproductive performance in dairy cows. Full Text available with Trip Pro

the effect of treatment on time to pregnancy. There was no benefit of treatment of endometritis before 4 wk postpartum. Administration of PGF2 alpha between 20 and 26 DIM to cows with endometritis that did not have a palpable corpus luteum was associated with a significant reduction in pregnancy rate. Between 27 and 33 DIM, cows with endometritis treated with cephapirin i.u. had a significantly shorter time to pregnancy than untreated cows (hazard ratio = 1.63). In this time period (...) , there was no difference in pregnancy rate between PGF2 alpha and untreated cows, but the difference in pregnancy rate between cows treated with cephapirin i.u. and with PGF2 alpha was not statistically significant. Treatment of postpartum endometritis should be reserved for cases diagnosed after 26 DIM, based on criteria that are associated with subsequent pregnancy rate.

2002 Journal of dairy science Controlled trial quality: uncertain

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