Symptoms of postpartum endometritis

by jlzx9123 on 2012-03-03 14:55:24

Symptoms of postpartum endometritis? Patients with acute uterine inflammation at Taiyuan Zhongshan Reproductive Hospital may have mild fever, a feeling of 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 even blood-tinged. Acute uterine inflammation occurring during the puerperium often has continuous lochia, and when it smells foul, it is mostly due to E. coli and anaerobic bacterial infections. If caused by hemolytic streptococcus or Staphylococcus aureus infection, there is generally less lochia and no obvious foul smell, but it easily spreads through the lymphatics. Gynecological examinations reveal purulent leukorrhea at the cervical os, cervical lift pain, and slight tenderness of the uterine body. Examination shows elevated white blood cells and increased neutrophils.

Symptoms of chronic uterine inflammation after childbirth according to Taiyuan Zhongshan Reproductive Hospital:

1. Excessive menstrual cycles: The menstrual period is regular, but the amount of menstruation doubles, and the bleeding period is significantly prolonged. Only a few patients experience anemia due to heavy bleeding, possibly because of thickened endometrium and inflammatory congestion. Irregular bleeding is uncommon, sometimes lasting only a few hours or 1-2 days before stopping.

2. Pelvic area pain: Many patients with uterine inflammation report lower abdominal heaviness and lumbar-sacral pain between menstrual cycles.

3. Dysmenorrhea: Common in women who haven't given birth, but severe dysmenorrhea is rare. It might be due to excessive thickening of the endometrium, hindering normal tissue degeneration and necrosis, stimulating excessive uterine spasmodic contraction.

4. Increased leukorrhea: Caused by increased secretion of the endometrial glands. Usually thin and watery, light yellow, and occasionally blood-tinged.

Prevention methods for endometritis include:

1. Choosing a reputable hospital for abortion surgery or delivery. Strict disinfection during surgery or childbirth is crucial to prevent acute endometritis.

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

3. Women should also pay attention to personal hygiene normally. Absolutely avoid sexual intercourse during menstruation.

4. Pay attention to personal hygiene after childbirth or abortion surgery, use clean sanitary paper towels, change sanitary pads in time, and avoid sexual intercourse.

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