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Postpartum Endometritis

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41. 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

42. 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

43. 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

44. 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

45. Endometritis (Treatment)

, 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 Pediatrics

46. 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

47. Endometritis (Treatment)

, 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

48. 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 Pediatrics

49. 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

50. Effects of 1 or 2 treatments with prostaglandin F₂α on subclinical endometritis and fertility in lactating dairy cows inseminated by timed artificial insemination. Full Text available with Trip Pro

Effects of 1 or 2 treatments with prostaglandin F₂α on subclinical endometritis and fertility in lactating dairy cows inseminated by timed artificial insemination. The objectives of the current study were to investigate the efficacy of PGF₂α as a therapy to reduce the prevalence of subclinical endometritis and improve pregnancy per artificial insemination (P/AI) in cows subjected to a timed artificial insemination (AI) program. A total of 1,342 lactating Holstein dairy cows were allocated (...) ). Subclinical endometritis was defined by the presence of ≥ 5% PMNL. Vaginal discharge score was evaluated at 25 ± 3 DIM and used to define the prevalence of purulent vaginal discharge. Body condition score was assessed at 25 ± 3 DIM. Pregnancy was diagnosed 32 d after AI and reconfirmed 28 d later. At 32 ± 3 DIM, the prevalence of subclinical endometritis was reduced by treatment with PGF₂α at 25 ± 3 DIM in 2PGF (control=23.5% vs. 1PGF=28.3% vs. 2PGF=16.7%); however, this benefit disappeared at 46 ± 3 DIM

2013 Journal of dairy science Controlled trial quality: uncertain

51. Therapy of bovine endometritis with prostaglandin F2α: a meta-analysis. Full Text available with Trip Pro

Therapy of bovine endometritis with prostaglandin F2α: a meta-analysis. The objective of the conducted meta-analysis was to assess the efficacy of the treatment of bovine endometritis with PGF(2α) by statistical means. Postpartum uterine infections have a high prevalence and a very negative effect on reproductive performance in dairy cattle. Because of a wide discordance between research results, a meta-analysis of the efficacy of the treatment of bovine endometritis with PGF(2α) was conducted (...) ). Estimated effect sizes of PGF(2α) were calculated on calving to first service and calving to conception interval. Prostaglandin F(2α) treatment of cows with chronic endometritis had a negative effect on both reproductive performance parameters. Heterogeneity was substantial for calving to first service and calving to conception interval [I(2) (measure of variation beyond chance)=100 and 87%, respectively]; therefore, random-effects models were used. Sensitivity analysis as well as subgroup analysis

2013 Journal of dairy science

52. Maternal near miss and mortality due to postpartum infection: a cross-sectional analysis from Rwanda. Full Text available with Trip Pro

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

53. Treatment Utility of Postpartum Antibiotics in Chorioamnionitis Study. (Abstract)

%, 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 (...) 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

2016 American journal of perinatology Controlled trial quality: predicted high

54. A postpartum haemorrhage package with condom uterine balloon tamponade: a prospective multi-centre case series in Kenya, Sierra Leone, Senegal, and Nepal. Full Text available with Trip Pro

UBT-associated complication (postpartum endometritis) was identified and two improvised UBTs were placed in women with a ruptured uterus.These pilot data suggest that the ESM-UBT package is a clinically promising and safe method to arrest uncontrolled postpartum haemorrhage and save women's lives. The UBT was successfully placed by all levels of facility-based providers. Future studies are needed to further evaluate the effectiveness of ESM-UBT in low-resource settings.Evidence for ESM-UBT (...) A postpartum haemorrhage package with condom uterine balloon tamponade: a prospective multi-centre case series in Kenya, Sierra Leone, Senegal, and Nepal. To evaluate the effectiveness and safety of an ultra-low-cost uterine balloon tamponade package (ESM-UBT™) for facility-based management of uncontrolled postpartum haemorrhage (PPH) in Kenya, Sierra Leone, Senegal, and Nepal.Prospective multi-centre case series.Facilities in resource-scarce areas of Kenya, Sierra Leone, Nepal

2015 BJOG

55. Determinants of health-related quality of life in the postpartum period after obstetric complications. (Abstract)

, congenital anomaly, urinary tract infection, thromboembolic event or endometritis. MCS was influenced only mildly by these parameters.IUGR and hypertensive disorders lead to lower HRQoL scores postpartum than PPH. In a heterogeneous obstetric population, only mode of delivery by cesarean section has a profound, negative impact, on physical HRQoL (PCS). No profound impacts on MCS were detected.Copyright © 2014 Elsevier Ireland Ltd. All rights reserved. (...) Determinants of health-related quality of life in the postpartum period after obstetric complications. To determine the influence of socio-demographic, clinical parameters and obstetric complications on postpartum health-related quality of life (HRQoL).We used data of three randomized controlled trials to investigate HRQoL determinants in women after an obstetric complication. The DIGITAT and HYPITAT trials compared induction of labor and expectant management in women with intra-uterine growth

2015 European journal of obstetrics, gynecology, and reproductive biology Controlled trial quality: uncertain

56. Severe Secondary Postpartum Hemorrhage: A Historical Cohort. (Abstract)

Severe Secondary Postpartum Hemorrhage: A Historical Cohort. The principal objective of our study was to describe the frequency of severe secondary postpartum hemorrhages (PPH). Our secondary objectives were to describe the different causes of PPH and to assess if the PPH etiologies varied by parity.This is a historical cohort study covering the period from January 1, 2004, through February 13, 2013, in a level III maternity ward. Women were eligible if they were treated for severe secondary (...) PPH during their postpartum hospitalization or were admitted for it after discharge but before the 42nd day postpartum, regardless of the type of delivery. Women were excluded if they gave birth before 22 weeks of gestation or if they had experienced only an immediate PPH (≤ 24 hours after delivery). Eligible patients were identified by the hospital's administrative software. Primiparas and multiparas were compared with Student's t test and a chi-squared or Fisher's exact test.The incidence

2015 Birth

57. Endometritis

, Endomyometritis From Related Chapters II. Causes Postpartum Endometritis Early Postpartum (<48 hours) after Late Postpartum (48 hours - 6 weeks) after Uterine instrumentation III. Pathophysiology of the M. hominis IV. Symptoms Lower abdominal cramps Foul and V. Signs Lower abdominal tenderness and muscle spasm Cervical motion tenderness VI. Labs and culture of cervical discharge swab VII. Management Inpatient (Indicated in most cases) Option 1 OR OR Imipenem OR AND Option 2 AND OR OR Gentamycin Outpatient (...) involving the endometrium. It may extend to the myometrium and parametrial tissues. Definition (NCI) An acute or chronic, usually bacterial infectious process affecting the endometrium. It may extend to the myometrium and parametrial tissues. Symptoms include lower abdominal pain, vaginal discharge, and vaginal bleeding. Definition (MSH) Inflammation of the ENDOMETRIUM, usually caused by intrauterine infections. Endometritis is the most common cause of postpartum fever. Concepts Disease or Syndrome

2015 FP Notebook

58. 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

2015 FP Notebook

59. Does vaginal preparation with povidone-iodine prior to caesarean delivery reduce the risk of endometritis? A randomized controlled trial. (Abstract)

delivery or received no vaginal preparation. The primary outcome measure was the rate of postpartum endometritis.A significant decrease in post-caesarean endometritis was noted in the group that received the povidone-iodine vaginal preparation (n = 334) compared with the control group (n = 336) [6.9 vs. 11.6%; RR = 1.69; 95% CI = 1.03-2.76]. No statistically significant differences in the incidence of endometritis were noted between the experimental and control groups among women who were not in labor (...) Does vaginal preparation with povidone-iodine prior to caesarean delivery reduce the risk of endometritis? A randomized controlled trial. The purpose of the present study was to determine whether the vaginal preparation with povidone-iodine prior to caesarean delivery decreased the incidence of postpartum endometritis.The present study was a prospective randomized controlled trial in which subjects received a vaginal preparation with povidone-iodine solution immediately prior to caesarean

2012 The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Controlled trial quality: predicted high

60. Comparison Study of Cefazolin Versus Cefazolin Plus Azithromycin Prophylaxis in Post-Cesarean Endometritis

Last Update Posted : May 5, 2015 Sponsor: University of Missouri, Kansas City Information provided by (Responsible Party): Pedro Morales-Ramirez, University of Missouri, Kansas City Study Details Study Description Go to Brief Summary: Despite the generalized use of preoperative antibiotic prophylaxis, endometritis remains as the most frequent post-cesarean delivery complication. This increased morbidity translates into extended post-partum antibiotic use and prolongation of hospital stay (...) : Cefazolin Active Comparator: Cefazolin + Azitrhromycin double antibiotic Drug: Azithromycin Drug: Cefazolin Outcome Measures Go to Primary Outcome Measures : Development of post cesarean endometritis [ Time Frame: 3-4 days while in hospital during post partum period ] Secondary Outcome Measures : Hospital stay length [ Time Frame: 3-4 days while in hospital during post partum period ] Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study

2012 Clinical Trials

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