How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

519 results for

Postpartum Endometritis

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

61. Pregnancy, Postpartum Infections (Follow-up)

monitoring, and administer oxygen. Next: Emergency Department Care Emergency Department care is focused on identifying the source of the infection, followed by appropriate antimicrobial therapy and referral. Postpartum endometritis treatment In most cases, initial antimicrobial treatment is a combination of an aminoglycoside and clindamycin. Alternatively, an aminoglycoside plus metronidazole with or without ampicillin may also be used. [ ] Mild cases of endometritis after vaginal delivery may be treated (...) that there exists no universal guideline or recommendation for anticoagulation therapy in septic pelvic thrombosis. Initial bolus of 60 units/kg (4000 units maximum) followed by 12 units/kg/h (maximum of 1000 units/h) is recommended. [ ] The aPTT is monitored for 2-3 times the normal value. [ , ] Alternatively, low-molecular weight heparin may be used with a dose of 1 mg/kg. [ , ] Hospitalization Patients with early postpartum endometritis (especially after cesarean delivery) should be admitted, as should any

2014 eMedicine Emergency Medicine

62. Pregnancy, Postpartum Hemorrhage (Follow-up)

Pregnancy, Postpartum Hemorrhage (Follow-up) Postpartum Hemorrhage in Emergency Medicine Treatment & Management: Approach Considerations, Prehospital Care, Emergency Department Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk2Nzg1LXRyZWF0bWVudA== processing > Postpartum Hemorrhage in Emergency Medicine Treatment & Management Updated: Jan 02, 2018 Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE Share Email Print Feedback Close Sections Sections Postpartum Hemorrhage in Emergency Medicine Treatment Approach Considerations If a patient is brought to a hospital without obstetric services, the emergency medicine providers should initiate resuscitation and transfer the patient

2014 eMedicine Emergency Medicine

63. Pregnancy, Postpartum Infections (Overview)

is the single most important factor in the development of endometritis. [ ] The risk of endometritis increases dramatically after cesarean delivery. [ , ] However, there is some evidence that hospital readmission for management of postpartum endometritis occurs more often in those who delivered vaginally. [ ] Other risk factors include prolonged rupture of membranes, prolonged use of internal fetal monitoring, anemia, and lower socioeconomic status. [ ] Perioperative antibiotics have greatly decreased (...) United States statistics In a study by Yokoe et al in 2001, 5.5% of vaginal deliveries and 7.4% of cesarean deliveries resulted in a postpartum infection. [ ] The overall postpartum infection rate was 6.0%. Endometritis accounted for nearly half of the infections in patients following cesarean delivery (3.4% of cesarean deliveries). Mastitis and urinary tract infections together accounted for 5% of vaginal deliveries. [ ] A study by Bauer et al indicated that in the United States from 1998 to 2008

2014 eMedicine Emergency Medicine

64. Pregnancy, Postpartum Infections (Diagnosis)

is the single most important factor in the development of endometritis. [ ] The risk of endometritis increases dramatically after cesarean delivery. [ , ] However, there is some evidence that hospital readmission for management of postpartum endometritis occurs more often in those who delivered vaginally. [ ] Other risk factors include prolonged rupture of membranes, prolonged use of internal fetal monitoring, anemia, and lower socioeconomic status. [ ] Perioperative antibiotics have greatly decreased (...) United States statistics In a study by Yokoe et al in 2001, 5.5% of vaginal deliveries and 7.4% of cesarean deliveries resulted in a postpartum infection. [ ] The overall postpartum infection rate was 6.0%. Endometritis accounted for nearly half of the infections in patients following cesarean delivery (3.4% of cesarean deliveries). Mastitis and urinary tract infections together accounted for 5% of vaginal deliveries. [ ] A study by Bauer et al indicated that in the United States from 1998 to 2008

2014 eMedicine Emergency Medicine

65. Pregnancy, Postpartum Hemorrhage (Treatment)

Pregnancy, Postpartum Hemorrhage (Treatment) Postpartum Hemorrhage in Emergency Medicine Treatment & Management: Approach Considerations, Prehospital Care, Emergency Department Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk2Nzg1LXRyZWF0bWVudA== processing > Postpartum Hemorrhage in Emergency Medicine Treatment & Management Updated: Jan 02, 2018 Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE Share Email Print Feedback Close Sections Sections Postpartum Hemorrhage in Emergency Medicine Treatment Approach Considerations If a patient is brought to a hospital without obstetric services, the emergency medicine providers should initiate resuscitation and transfer the patient

2014 eMedicine Emergency Medicine

66. Pregnancy, Postpartum Infections (Treatment)

monitoring, and administer oxygen. Next: Emergency Department Care Emergency Department care is focused on identifying the source of the infection, followed by appropriate antimicrobial therapy and referral. Postpartum endometritis treatment In most cases, initial antimicrobial treatment is a combination of an aminoglycoside and clindamycin. Alternatively, an aminoglycoside plus metronidazole with or without ampicillin may also be used. [ ] Mild cases of endometritis after vaginal delivery may be treated (...) that there exists no universal guideline or recommendation for anticoagulation therapy in septic pelvic thrombosis. Initial bolus of 60 units/kg (4000 units maximum) followed by 12 units/kg/h (maximum of 1000 units/h) is recommended. [ ] The aPTT is monitored for 2-3 times the normal value. [ , ] Alternatively, low-molecular weight heparin may be used with a dose of 1 mg/kg. [ , ] Hospitalization Patients with early postpartum endometritis (especially after cesarean delivery) should be admitted, as should any

2014 eMedicine Emergency Medicine

67. Puerperal Endometritis

, rarely aided by culture. Treatment is with broad-spectrum antibiotics (eg, clindamycin plus gentamicin ). Incidence of postpartum endometritis is affected mainly by the mode of delivery: Vaginal deliveries: 1 to 3% Scheduled caesarean deliveries (done before labor starts): 5 to 15% Unscheduled caesarean deliveries (done after labor starts): 15 to 20% Patient characteristics also affect incidence. Etiology Endometritis may develop after chorioamnionitis during labor or postpartum. Predisposing (...) Gardnerella vaginalis, Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis) . Uncommonly, peritonitis, pelvic abscess, (with risk of ), or a combination develops. Rarely, and its sequelae, including death, occur. Symptoms and Signs Typically, the first symptoms of puerperal endometritis are lower abdominal pain and uterine tenderness, followed by fever—most commonly within the first 24 to 72 h postpartum. Chills, headache, malaise, and anorexia are common. Sometimes the only symptom is a low

2013 Merck Manual (19th Edition)

68. Treatment Utility of Postpartum Antibiotics in Chorioamnionitis

School of Medicine Collaborator: St. Louis University Information provided by (Responsible Party): Washington University School of Medicine Study Details Study Description Go to Brief Summary: To determine if prophylactic postpartum antibiotics are required post-cesarean delivery for pregnancies with treated chorioamnionitis. Condition or disease Intervention/treatment Phase The Primary Outcome of This Study Will be the Rate of Endometritis Drug: Postpartum Antibiotics Drug: No postpartum antibiotics (...) in the rate of postpartum endometritis. The conclusion from this study was that continuation of preoperative clindamycin and gentamicin in the postoperative period did not reduce the risk of endometritis compared to a single preoperative dose however this study was terminated early due to failure to recruit their stated sample size. Puerperal endometritis rates vary by mode of delivery but it is known that the rate is lower in vaginal deliveries as compared to cesarean delivery. The patient

2012 Clinical Trials

69. Pharmacokinetics and Safety of Ertapenem in the Postpartum Period

of ertapenem in women diagnosed with postpartum endometritis. Subjects will include up to 24 women receiving treatment for a diagnosis of postpartum endometritis with ertapenem in the Duke University Hospital Labor & Delivery Unit. Each patient will participate in the study for approximately 7 days, though the total study duration is expected to be approximately 12 months. Descriptive statistics for the subjects will be calculated. The appropriate non-compartmental pharmacokinetic parameters (...) : Single Group Assignment Masking: None (Open Label) Primary Purpose: Treatment Official Title: Pharmacokinetics and Safety of Ertapenem in the Postpartum Period Study Start Date : March 2012 Actual Primary Completion Date : January 2014 Actual Study Completion Date : January 2014 Resource links provided by the National Library of Medicine related topics: available for: Arms and Interventions Go to Arm Intervention/treatment Experimental: Ertapenem Women diagnosed with postpartum endometritis Drug

2012 Clinical Trials

70. Postpartum Levonorgestrel-releasing Intrauterine System and Breastfeeding

component of the LNG-IUS No genital bleeding of unknown etiology No history of solid organ transplantation Additional eligibility criteria for entry into the randomized trial, as assessed postpartum No endometritis or chorioamnionitis Membranes ruptured for less than 24 hours prior to delivery (O'Hanley, Hayes) No fever greater than or equal to 38°C during the intrapartum or postpartum period Did not receive medications other than pitocin and/or misoprostol to control postpartum bleeding Did not have (...) Postpartum Levonorgestrel-releasing Intrauterine System and Breastfeeding Postpartum Levonorgestrel-releasing Intrauterine System and Breastfeeding - 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. Postpartum

2012 Clinical Trials

71. Postpartum infections: occurrence, healthcare contacts and association with breastfeeding. (PubMed)

(12%) were most frequent, followed by wound (3%), airway (3%), vaginal (3%) and urinary tract infections (3%), endometritis (2%) and "other infections" (2%). Of the women with an infection, 66% (265 of 395) contacted their general practitioner, while 9% (37 of 395) had contact with a hospital. A significantly larger proportion of women with a postpartum infection stopped breastfeeding (21%) within the first four weeks after delivery compared with women without infection (12%; p < 0.001).Postpartum (...) Postpartum infections: occurrence, healthcare contacts and association with breastfeeding. To investigate the following: (i) the occurrence of postpartum infections; (ii) the frequency of contact with either a general practitioner or a hospital due to postpartum infections; and (iii) the association of postpartum infections with continuation of breastfeeding.Cross-sectional study.Department of Gynecology and Obstetrics Horsens Hospital, Horsens, Denmark.A total of 1871 women who gave birth

2012 Acta Obstetricia et Gynecologica Scandinavica

72. Is uterine-sparing surgical management of persistent postpartum hemorrhage truly a fertility-sparing technique? (PubMed)

Is uterine-sparing surgical management of persistent postpartum hemorrhage truly a fertility-sparing technique? Among 23 women who underwent diagnostic hysteroscopy after triple uterine artery ligation with or without hemostatic multiple square suturing for the management of postpartum hemorrhage (PPH), five had abnormal findings. Endometritis was statistically significantly associated with abnormal diagnostic hysteroscopy findings. Twelve patients developed subsequent pregnancies, and four had (...) abnormal obstetric outcomes: one placenta percreta, one placenta accreta, one recurrent postpartum hemorrhage, and one intrauterine growth retardation.Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

2011 Fertility and Sterility

73. Postpartum Dyspareunia Resulting From Vaginal Atrophy

for their postpartum visit Criteria Inclusion Criteria: Healthy, puerperal women who will be willing to participate, over 18 years old. Exclusion Criteria: Patients with puerperal complications such as: bleeding, fever, endometritis. Patients with significant systemic diseases. Patients who conceive again during the study. Patients who are not willing to participate Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact (...) Postpartum Dyspareunia Resulting From Vaginal Atrophy Postpartum Dyspareunia Resulting From Vaginal Atrophy - 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. Postpartum Dyspareunia Resulting From Vaginal

2011 Clinical Trials

74. Multiple square sutures for postpartum hemorrhage: results and hysteroscopic assessment. (PubMed)

by hysteroscopy at 3 months.Multiple square sutures stopped postpartum hemorrhage in 28 of 30 cases (93%). Twenty women underwent hysteroscopy after multiple square sutures. Eight women (40%) did not have intrauterine adhesions. Nine women (45%) had thin and localized intrauterine adhesions that were removed easily by the tip of the hysteroscope; 2 women had moderate intrauterine adhesions that were resected. One patient had endometritis followed by severe intrauterine adhesions.Multiple square sutures (...) Multiple square sutures for postpartum hemorrhage: results and hysteroscopic assessment. The purpose of this study was to evaluate the efficiency and morbidity of multiple square sutures in severe postpartum hemorrhage.A retrospective study encompassed 30 multiple square sutures that were performed for severe postpartum hemorrhage in 26,605 deliveries in a tertiary maternity center. The main outcome measures were the ability to stop hemorrhage and the assessment of the uterine cavity

2011 American Journal of Obstetrics and Gynecology

75. Comparison of ampicillin with clindamycin plus gentamicin in the treatment of postpartum uterine infection. (PubMed)

Comparison of ampicillin with clindamycin plus gentamicin in the treatment of postpartum uterine infection. A prospective randomized study of the treatment of postpartum endometritis was conducted with 43 patients. The bacterial origin of the infection was determined by uterine aspiration. Treatment was successful in 17 of the 19 patients receiving ampicillin (12 g/d) and in 21 of the 24 patients receiving clindamycin (2.4 g/d) plus gentamicin (5.1 mg/kg daily).

Full Text available with Trip Pro

1979 Canadian Medical Association journal

76. New local hemostatic treatment for postpartum hemorrhage caused by placenta previa at cesarean section. (PubMed)

New local hemostatic treatment for postpartum hemorrhage caused by placenta previa at cesarean section. Cesarean section in women with placenta previa is associated with the risk of heavy bleeding. We describe a new method where local hemostasis is obtained by applying a hemostatic fleece directly onto the lower uterine segment. During a 2-year period women undergoing cesarean section due to placenta previa were treated with this hemostatic fleece if they had ongoing bleeding during (...) the surgical procedure despite routine treatment. Data were obtained retrospectively from the hospital records. Fifteen patients were treated by 15 different surgeons. No patients required reoperation. Three patients required blood transfusion due to anemia. No patients were readmitted to the hospital due to endometritis. We conclude that the application of a hemostatic fleece directly onto the bleeding surfaces in patients with post-cesarean bleeding due to placenta previa is technically unproblematic

2010 Acta Obstetricia et Gynecologica Scandinavica

77. A Multicenter Analysis of Levonorgestrel-Intrauterine System (LNG-IUS) Use in the Postpartum Period

hypothesize that Immediate placement of IUD in the postpartum period will result in a 20% decrease in continuation rates at six months compared to Interval placement. Secondary outcome measures that we will obtain include: Pain at the time of placement Postpartum Depression Breastfeeding status Postpartum weight retention Expulsion Rates Bleeding Profile Uterine Infection(Endometritis) Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment (...) appointment and at six months Bleeding Profile [ Time Frame: 6 months ] Each Participant will be asked to complete a monthly menstrual flow calendar to document light, medium, or heavy bleeding. These will be collected at the postpartum appointment and at six months. Infectious morbidity [ Time Frame: 6 months ] Postpartum endometritis and pelvic inflammatory disease will be tracked with record review and direct participant questioning at their postpartum appointment and at six months Eligibility Criteria

2010 Clinical Trials

78. Levonorgestrel-Intrauterine System (LNG-IUS) Insertion in the Postpartum Period

: Contraindications to the LNG-IUS include: Pregnancy or suspicion of pregnancy, Congenital or acquired uterine anomaly including fibroids if they distort the uterine cavity, Postpartum endometritis within the past 3 months, Known or suspected uterine or cervical neoplasia or unresolved, abnormal pap smear, untreated acute cervicitis or vaginitis including bacterial vaginosis or other lower genital tract infections, acute liver disease or liver tumor, hypersensitivity to any component of the product, known (...) Levonorgestrel-Intrauterine System (LNG-IUS) Insertion in the Postpartum Period Levonorgestrel-Intrauterine System (LNG-IUS) Insertion in the Postpartum Period - 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

2010 Clinical Trials

79. Mechanical dilatation of the cervix during elective caeserean section before the onset of labour for reducing postoperative morbidity. (PubMed)

), or amount of haemoglobin drop (MD -0.01 g/dL, 95% -0.14 to 0.13; three studies, 796 women); the incidence of secondary postpartum haemorrhage within six weeks (RR 1.18, 95% CI 0.07 to 18.76; one study, 447 women); febrile morbidity (RR 1.18, 95% CI 0.76 to 1.85; seven studies, 2126 women); endometritis (RR 0.94, 95% CI 0.35 to 2.52; four studies, 1536 women); or uterine subinvolution (RR 0.34, 95% CI 0.08 to 1.36; two studies, 654 women); the results crossed the line of no effect for all of the outcomes (...) underwent intraoperative cervical dilatation with a double-gloved index finger or Hegar dilator inserted into the cervical canal to dilate, and 1130 did not undergo intraoperative cervical dilatation. Six of the eight included trials had high risk of bias for some of the risk of bias domains.Very low-quality evidence suggested it was unclear whether cervical dilatation had any impact on postpartum haemorrhage (estimated blood loss greater than 1000 mL; risk ratio (RR) 1.97, 95% confidence interval (CI

2018 Cochrane

80. Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections. (PubMed)

Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections. Cesarean delivery is one of the most common surgical procedures performed by obstetricians. Infectious morbidity after cesarean delivery can have a tremendous impact on the postpartum woman's return to normal function and her ability to care for her baby. Despite the widespread use of prophylactic antibiotics, postoperative infectious morbidity still complicates cesarean deliveries (...) . This is an update of a Cochrane review first published in 2010 and subsequently updated in 2012, and twice in 2014.To determine if cleansing the vagina with an antiseptic solution before a cesarean delivery decreases the risk of maternal infectious morbidities, including endometritis and wound complications. We also assessed the side effects of vaginal cleansing solutions to determine adverse events associated with the intervention.We searched Cochrane Pregnancy and Childbirth's Trials Register

2018 Cochrane

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>