A 28-year-old woman, 10 days postpartum, presents to the GP with offensive lochia, lower abdominal pain, and a temperature of 38.6°C. Her uterus is te...

Question

A 28-year-old woman, 10 days postpartum, presents to the GP with offensive lochia, lower abdominal pain, and a temperature of 38.6°C. Her uterus is tender on palpation. Which is the single most appropriate management?

Accepted Answer

Refer for same-day obstetric assessment for suspected endometritis

Answer

Prescribe oral amoxicillin 500 mg three times daily and review in 48 hours

Answer

Prescribe oral metronidazole 400 mg three times daily alone

Answer

Take a high vaginal swab and await results before treating

Answer

Advise paracetamol and warm baths

uk-drcog MCQ (SBA): Postpartum Endometritis

A 28-year-old woman, 10 days postpartum, presents to the GP with offensive lochia, lower abdominal pain, and a temperature of 38.6°C. Her uterus is tender on palpation. Which is the single most appropriate management?