Endometritis Puerperal

Abstract

Puerperal endometritis is known as the presence of pathogenic agents inside the uterus, after delivery, characterized by presenting a Puerperal quantified thermal rise above 38 degrees Celsius, within 48 hours after delivery, in a period of 6 hours. This postpartum complication has an incidence between 1 % to 3% ofbirths with a prevalence of 15% of maternal mortality. The present study was based on a bibliographic review of scientific articles that included studies on the causes and complications of puerperal endometritis, as well as literature such as pre and post graduate theses, case reports, and studies that present valuable inforrnation on the subject. The bibliographic sources used were Scielo, PubMed, Cochrane, Medes and ELSTEVER. Results drew that the most frequently found germs which originate puerperal endometritis infection are: Streptococci, anaerobes and E. Coli. Among the main factors that were associated were anemia, poor nutritional status, history of chorioamnionitis, prolonged labor, multiple assessment by vaginal tactus, retained placenta and history of cesarean delivery. To sum up, endometritis is one of the most frequent complications that can occur in the puerperium, and is an important cause ofmaternal morbimortality, increased hospital stay and state costs.