امرأة بعد الولادة بأسبوعين، عندها حرارة ٣٨٫٦ وألم في أسفل البطن وإفرازات مهبلية كريهة الرائحة، والرحم مؤلم ومرتفع أكثر من المتوقع. ولدت بقيصرية بعد مخاض طويل. ما الأرجح؟

Two weeks after delivery, a woman has T 38.6 °C, lower abdominal pain, foul-smelling lochia and a tender, higher-than-expected uterus. She had a caesarean after prolonged labour. What is most likely?

1. Normal puerperium without a problem
2. Appendicitis
3. Postpartum endometritis
4. Simple urinary tract infection

Answer: C) Postpartum endometritis. Fever with a tender uterus and foul lochia after birth, especially after caesarean and long labour, indicates endometritis requiring antibiotics.