Question
Persistent postpartum fever:
Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment.
Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude [...], Consultation to Infectious disease team (ID team).
Consider other causes like Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis.
Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome.