Puerperal endometritis is a common cause of puerperal fever, affecting over half of the patients studied (52.7%).
A significant portion of these patients (41.2%) required curettage, with bacterial infections being identified in about half of the sampled cultures.
Factors like abdominal pain, malodorous lochia, fever within the first two weeks postpartum, and ultrasound indications of retained products of conception were linked to the need for curettage.