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Postpartum Endometritis: Care Instructions

Abdomen showing location of uterus, cervix, ovaries, fallopian tubes, and vagina.

Your Care Instructions

Postpartum endometritis is an infection of the lining of the uterus after you give birth. It is treated with antibiotics.

It is very important to treat this problem. If you don't, you can get a more serious infection. It could cause problems, such as scars on the pelvic organs. Or it could prevent you from having more children.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • Take your antibiotics as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.
  • Rest until you feel better.
  • Take an over-the-counter pain medicine, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin). Read and follow all instructions on the label.
  • Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful.
  • If you have belly pain, use a hot water bottle. Or you can use a heating pad set on low. Put a thin cloth between the heating pad and your skin.
  • Do not have sex until your doctor says it's safe. Use pads instead of tampons.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

  • You passed out (lost consciousness).

Call your doctor or nurse advice line now or seek immediate medical care if:

  • You have severe vaginal bleeding.
  • You are dizzy or light-headed, or you feel like you may faint.
  • You have a fever.
  • You have new or worse pain in your belly or pelvis.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:

  • Your vaginal bleeding seems to be getting heavier.
  • You have new or worse vaginal discharge.
  • You feel sad, anxious, or hopeless for more than a few days.
  • You do not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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