Symptoms of postpartum endometritis

by jlzx9123 on 2012-03-03 15:02:50

Symptoms of postpartum endometritis? Patients with acute uterine inflammation at Taiyuan Zhongshan Reproductive Hospital may experience mild fever, heaviness and pain in the lower abdomen, mostly continuously. There is a significant increase in vaginal discharge, which can be purulent with an odor, or it can be bloody. Acute uterine inflammation occurring during the puerperium often has unceasing lochia with an odor, mostly due to infection by E. coli and anaerobic bacteria; if infected by hemolytic streptococcus or Staphylococcus aureus, there is generally less lochia and no obvious odor, but it easily spreads via lymphatics. Gynecological examination reveals purulent vaginal discharge at the cervical os, cervical lift tenderness, and mild tenderness in the uterine body. Examination finds elevated white blood cells and increased neutrophils.

Symptoms of chronic uterine inflammation postpartum:

1. Excessive menstrual cycles: Although the menstrual period is regular, the amount of menstruation doubles, and the bleeding period is significantly prolonged. Only a very small number of patients develop anemia due to heavy bleeding, possibly due to thickened endometrium and inflammatory congestion. Irregular bleeding is rare, sometimes lasting for a few hours or 1-2 days before stopping.

2. Pelvic area pain: Many patients with uterine inflammation report heaviness and pain in the lower abdomen and lumbosacral soreness during the intermenstrual period.

3. Dysmenorrhea: It mostly occurs in women who have not given birth, but severe dysmenorrhea is rare. It may be due to excessive thickening of the endometrium, hindering normal tissue necrosis, stimulating excessive spasmodic contraction of the uterus.

4. Increased leukorrhea: Due to increased secretion from the endometrial glands. Generally, it is thin and watery, light yellow, sometimes bloody.

Methods to prevent endometritis include:

1. Choosing a reputable hospital for abortion or delivery. Strict disinfection during surgery or childbirth is an important reason to prevent acute endometritis and should be taken seriously.

2. Comprehensive gynecological examinations before abortion or childbirth to timely detect and treat acute or chronic reproductive tract infections, preventing bacterial ascending infection after abortion or childbirth.

3. Generally, women should also pay attention to personal hygiene. Absolutely avoid sexual intercourse during menstruation.

4. Pay attention to personal hygiene after childbirth or abortion surgery, do not use unclean sanitary paper towels, change sanitary pads in time, and avoid sexual intercourse.

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