Which statement best describes the management of suspected endometritis postpartum?

• A. Observation only
• B. Delay antibiotics until fever persists
• C. Monitor for signs for several days
• D. Immediate evaluation and treatment with antibiotics as indicated

Answer: (D)

When suspected postpartum endometritis is present, the priority is to assess promptly and start treatment without delay. This infection can progress quickly and lead to sepsis, so waiting to observe or to see if fever persists before acting isn’t safe. The best approach is immediate evaluation and initiation of broad-spectrum antibiotics to cover the common uterine pathogens, even before culture results are back. Obtain any needed labs and cultures, but don’t delay therapy while waiting for results. Treating early improves outcomes, shortens illness duration, and reduces risk of complications, with antibiotics adjusted if culture data become available. Observing without treatment or postponing therapy for several days would miss the opportunity to prevent deterioration.