O03.37

Clinical Causes: Retention of tissue or blood in the uterus after a spontaneous abortion Bacterial infection introduced during or following the pregnancy loss Poor uterine contraction leading to incomplete evacuation of pregnancy tissues Use of unsterile medical instruments during attempted or completed pregnancy management Delayed or inadequate postpartum or post-abortion care Underlying infections that predispose to bacterial proliferation

Key Symptoms: High fever and chills Lower abdominal pain and tenderness Unusual or foul-smelling vaginal discharge Heavy bleeding or bleeding that persists longer than normal General feeling of weakness, fatigue, or malaise Rapid heartbeat and breathing Feeling dizzy or faint, especially when standing up Confusion or altered mental state in severe cases

Diagnosis Path: Diagnosis involves a combination of clinical evaluation and laboratory tests. Healthcare providers typically assess symptoms, perform a pelvic exam, and order blood tests to identify infection markers such as elevated white blood cell count. Cultures of vaginal discharge or blood samples may be taken to identify the specific infectious organism. Imaging techniques, like ultrasound, may be used to confirm incomplete tissue removal and assess uterine condition.

Treatment Protocols: Administering intravenous antibiotics to combat bacterial infection Providing fluids through IV lines to prevent dehydration and support blood pressure Supportive care such as oxygen therapy if breathing difficulties occur Surgical procedures like dilation and curettage (D&C) may be necessary to remove remaining tissue from the uterus Monitoring vital signs closely to detect signs of worsening infection or organ involvement Addressing any complications or underlying health issues to ensure complete recovery