Snapshot A 24-year-old primigravid woman underwent a cesarean section secondary to failed induction of labor at 39 weeks gestation. The cesarean delivery was uncomplicated and a healthy 8-pound girl was delivered. On post-partum day 3, the nurse reports the patient's temperature is 38.7°C (101.7°F). On physical examination, the surgical site is clean, the patient has mid-line abdominal tenderness and purulent lochia. A CBC is ordered, and the patient is found to have a white blood count of 16,000 cells/mm^3. Introduction Overview login to view 5 more bullets Epidemiology Incidence login to view 2 more bullets Demographics login to view 1 more bullet Location login to view 8 more bullets Risk factors login to view 16 more bullets ETIOLOGY Pathogenesis login to view 1 more bullet Presentation Symptoms login to view 33 more bullets Imaging Radiographs login to view 4 more bullets Studies Serum labs login to view 3 more bullets Cervical swab and culture Urinalysis Urine culture Wound culture Differential Endometritis login to view 3 more bullets Pyelonephritis login to view 4 more bullets Treatment Medical login to view 6 more bullets Surgical login to view 3 more bullets Complications Sepsis login to view 8 more bullets Abscess login to view 7 more bullets Prognosis Most patients improve in 2-3 days with prompt treatment Patients who develop sepsis have worse outcomes Prophylactic antibiotics prior to cesarean delivery can reduce incidence