Endometritis — DRCOG MCQ
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Correct answer: C — Postpartum endometritis
The best answer is “Postpartum endometritis”. Fever, uterine tenderness and malodorous lochia are typical of postpartum uterine infection and require same-day clinical assessment and antimicrobial treatment according to severity and local pathway. Physiological lochia should gradually diminish and is not associated with systemic illness or marked uterine tenderness; breast and thrombotic diagnoses do not explain the genital findings.
Reference: NICE NG194: Postnatal care: https://www.nice.org.uk/guidance/ng194/chapter/Recommendations