Any<unk>  woman with fever should be assumed to have a genital tract infection<unk>  women have a 20-fold increase in invasive group A streptococcal infection compared with nonpregnant women.
Most often polymicrobial, requiring broad spectrum antibiotics
Maternal mortality is highest if infection develops within 4 days of delivery
Cesarean delivery (most important)
Prolonged labor
Prolonged or premature rupture of membranes
Internal fetal or uterine monitoring
Large amount of meconium in amniotic fluid
Manual removal of placenta
Diabetes Mellitus
Preterm birth
Bacterial vaginosis
Operative vaginal delivery
Post-term pregnancy
HIV infection
Colonization with Group B Strep
Postpartum endometritis
Respiratory tract infection
Septic abortion
UTI/urosepsis
Chorioamnionitis
Pyelonephritis
First trimester abortion
Intra-abdominal abscess