Postpartum endometritis: course and forms of the disease, prevention and treatment of infection
After delivery, the mother remains with the child in the hospital for several days. This time is necessary to control and prevent possible complications after the appearance of the baby. Until the 20th century, postpartum endometritis was the cause of death of every second woman in labor and was known as maternity fever. But modern medicine allows you to exclude the lethal outcome and the serious course of the disease with timely treatment.
After the birth of the child in the uterus, there is an open wound in the place of attachment of the placenta. It takes up to two months to heal. The first 3-5 days after delivery, the affected tissue site is not protected even by the mucous membrane. This is the period when any infection that falls on the unhealed surface of the endometrium, begins to develop rapidly.
Weakened after pregnancy and childbirth, immunity can not effectively combat pathogens. An intensified reaction begins, in which the normal reaction of the body is inflammation. It affects the uterine epithelium and can spread to the muscle layer. From this moment, postpartum endometritis is diagnosed.
The purulent-inflammatory course of the disease has a direct effect on the nature of the complications. They are associated with an increase in the focus of the lesion and the spread of infection to other organs of the pelvis and peritoneum:
- Inflammation of the cavity of the small pelvis leads to peritonitis and pelvioperitonitis. The defeat of the ovaries is oophoritis, and the fallopian tubes are salpingitis. If the infection spreads to the vessels, phlebitis develops, which later can flow into thrombophlebitis.
- The appearance of abscesses, accompanied by the formation of cavities filled with pus and dead cells of the epithelium. Without surgical intervention, they begin to expand, causing necrosis and sepsis.
- Violation of the genitals and menstrual cycle. In the absence of adequate and timely treatment of the infectious and inflammatory process becomes the cause of infertility, in particularly severe cases removal of the uterus is required.
- Transition pathology in a chronic form. In the absence of adequate treatment, classical endometritis will periodically exacerbate over the years, accompanied by pain and purulent discharge from the vagina with an unpleasant odor.
It should be remembered that the lack of adequate treatment of pathology and any of its complications inevitably leads to a fatal outcome.