ABSTRACT

The prevalence, which varies according to the extent of operative trauma, occurs ten times more frequently in women who have undergone Cesarean section or septic abortion than in women who have delivered vaginally. Aggressive use of antibiotics in infection avoidance schema has rendered its occurrence even less likely. When endomyometritis does occur, failure to cover for the penicillin-resistant Bacteroidaceae and Prevotella (Category II of the Gainesville Classification), results in an increased prevalence of this post-surgical complication (2-4%). If initial therapy is complete for the anaerobic bacteria, the incidence among cases of endometritis and endomyometritis is less than 0.5%. Pelvic vein thrombophlebitis occurs once in 2000 spontaneous vaginal deliveries, approximately 10-20 times less frequently than after Cesarean section.