Provide aggressive fluid management. Place patient on a monitor with oxygen. A rapid response to antibiotics is the norm in the treatment of postpartum endometritis. Mastitis treatment Dicloxacillin, penicillinase-resistant penicillin or clindamycin with local measures, such as ice packs, analgesics, and breast support. Mastitis could lead to abscess formation, which may require surgical drainage.
Pain management is also important, as patients often are fairly uncomfortable.
Patients with septic pelvic thrombophlebitis must be provided anticoagulation therapy and should be placed on broad-spectrum antibiotics. Antibiotics - Antibiotic coverage for bacteroides, group B and A streptococci, Enterobacteriaceae and Chlamydia trachomatis in endometritis is suggested. Wound and episiotomy infections need broad-spectrum antibiotics as well, due to the polymicrobial nature of the local flora. Consider coverage primarily for S aureus in postpartum mastitis. Must be used in conjunction with clindamycin or doxycycline and an aminoglycoside for the treatment of endometritis.