Which postpartum client is at a higher risk for developing endometritis?

The postpartum client who is at a higher risk for developing endometritis is the adolescent experiencing an emergency cesarean delivery for fetal distress. Cesarean deliveries, especially those that are unplanned due to complications such as fetal distress, are associated with a higher incidence of endometritis. This is largely due to the surgical nature of the delivery, which can introduce bacteria into the uterine cavity, along with factors such as prolonged labor or the presence of chorioamnionitis, which can also accompany emergency procedures.

Adolescents may also be at a higher risk for complications due to potentially less prenatal care, lower rates of health literacy, and the unique physiological changes associated with their younger age, which can impact recovery.

The other clients listed do not present the same level of risk factors associated with infection. A vaginal delivery without complications minimizes the exposure of the uterus to pathogens. A primipara with a long labor may have some risk, but it generally does not exceed the surgical risk associated with a cesarean. A multigravida with no previous infections has a history that may suggest a lower risk for complications, particularly if previous deliveries were uncomplicated. Thus, the surgical intervention in the context of an emergency situation significantly heightens