Immediately after childbirth, the woman is still under the watchful eye of doctors for several more days, which monitor the overall body temperature, secretions, contractions of the uterus. All these actions are taken in order to exclude complications after childbirth , including postpartum endometritis.
Features of the disease
Postpartum endometritis is an inflammation of the inner layer of the uterus. In one form or another, the disease occurs in 5% of the women whose births occurred naturally, and in 10-20% of women after cesarean section.
Acute postpartum endometritis develops due to ingestion of microbes into the uterus. Physicians call two possible ways of infection - getting microbes from the vagina and from the foci of chronic infection. In the absence of qualified treatment, postpartum endometritis in women can lead to metroendometritis and endometriosis , and in the worst cases to infertility and miscarriage of subsequent pregnancies. The most likely development of the disease in such cases:
- delivery by caesarean section;
- infectious diseases;
- hormonal disorders;
- prolonged anhydrous interval during childbirth;
- manual removal of the placenta;
- birth trauma.
Postpartum endometritis - symptoms
Postnatal purulent-catarrhal endometritis can occur as early as the 2nd day after childbirth. In mild stages, the body temperature rises slightly, with severe leakage, reaches 40 ° C. Chills and headaches can also occur.
In the postpartum endometrium, many women complain of pain in the lower abdomen and lower back, which may worsen during feeding. There are also abundant bloody discharge.
Postpartum endometritis - treatment
Treatment of endometritis after childbirth takes place in a medical facility. Since the disease can occur several weeks after delivery, when a woman is already at home, the patient will need to be hospitalized. As medicines prescribe antibacterial agents in the form of injections. In some cases, combining several antibiotics.
At the slightest deterioration of well-being, severe pain in the lower abdomen and a rise in temperature, it is urgent to seek medical help. Any independent treatment is strictly forbidden, since the drugs used in therapy are dangerous to the health of the child, therefore, only the attending physician should prescribe them.