Symptoms of postpartum endometritis

by jlzx9123 on 2012-03-03 14:53:20

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 persistent lochia, endometritis, with an odor mostly due to Escherichia coli and anaerobic bacterial infections. If infected by hemolytic streptococcus or Staphylococcus aureus, there is generally less lochia, without a noticeable odor, but it easily spreads through the lymphatics. Gynecological examination reveals purulent vaginal discharge at the cervical os, cervical lift tenderness, and slight uterine tenderness. Examination finds elevated white blood cells, with increased neutrophils.

Symptoms of chronic uterine inflammation after childbirth:

1. Excessive menstrual cycles: Although the period is regular, the amount of menstruation doubles, and the bleeding period is significantly prolonged. Only a few patients develop anemia due to heavy bleeding, possibly due to thickened endometrium and inflammatory congestion.

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

3. Dysmenorrhea: It mostly occurs in nulliparous women, but severe dysmenorrhea is rare, possibly due to excessive thickening of the endometrium, hindering normal tissue necrosis, stimulating excessive spasmodic contractions of the uterus.

4. Increased vaginal discharge: Caused by increased secretion of endometrial glands. It is generally thin and watery, pale yellow, and sometimes bloody.

Preventive methods for endometritis:

1. Choose a regular hospital for abortion surgery or delivery. Inadequate sterilization during surgery or childbirth is an important cause of acute endometritis and should be taken seriously.

2. Conduct a comprehensive gynecological examination before abortion or delivery, promptly identifying and treating acute or chronic reproductive tract infections to prevent bacterial ascending infection after abortion or delivery.

3. Women in general 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 napkins, replace them in time, and avoid sexual intercourse.

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