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Palliative Care Calculators. Pediatrics Calculators. Primary Care (Adult) Calculators. Primary Care Sports Medicine (Adolescents and Adults) Calculators. Postpartum (puerperal) endometritis refers to a postpartum infection of the decidua (ie, pregnancy endometrium) that can affect all layers of the uterus. It is a common cause of postpartum fever and uterine tenderness and 10- to 30-fold more common after cesarean than vaginal birth. Most infections are mild and resolve with antibiotic therapy ...Postpartum (puerperal) endometritis refers to a postpartum infection of the decidua (ie, pregnancy endometrium) that can affect all layers of the uterus. It is a common cause of postpartum fever and uterine tenderness and 10- to 30-fold more common after cesarean than vaginal birth. 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