> 2-7 days post abortion - ascending infection; risk factors include operative intervention, retained POC advanced gestation
Retained POC = endometrial stripe >5mm on TVUS
> Sx - history, fever (though common to not have a fever), abd pain, discharge, vaginal bleeding, tender uterus, adnexa
> Antibitoic regimens
- Outpatient - levaquin, flagyl;
- Inpatient - vanc, zosyn +/- amp/gent vs vanc and meropenam;
Rh immunization - Rh negative mom, Rh positive fetus - with mixing of maternal and fetal blood; not a lot of great clinical evidence out there so unclear if our Rhogam dosage is correct, unclear how much maternal bleeding is required to have alloimmunization
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