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  • Endometritis: Cabangon Saagundo Abejar Granzon Mayowa Tabañag

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    Chresia Schae Mondejar
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    Endometritis is an inflammation of the inner lining of the uterus that is usually caused by retained products of conception after delivery, abortion, or an IUD. It can cause symptoms like fever, abnormal bleeding, and pain during sex. Treatment involves antibiotics to treat any infection as well as procedures like dilation and curettage to remove any infected tissue.

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    Endometritis-NCM102

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    Endometritis is an inflammation of the inner lining of the uterus that is usually caused by retained products of conception after delivery, abortion, or an IUD. It can cause symptoms like fever, abnormal bleeding, and pain during sex. Treatment involves antibiotics to treat any infection as well as procedures like dilation and curettage to remove any infected tissue.

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    23 views14 pages

    Endometritis: Cabangon Saagundo Abejar Granzon Mayowa Tabañag

    Uploaded by

    Chresia Schae Mondejar
    Endometritis is an inflammation of the inner lining of the uterus that is usually caused by retained products of conception after delivery, abortion, or an IUD. It can cause symptoms like fever, abnormal bleeding, and pain during sex. Treatment involves antibiotics to treat any infection as well as procedures like dilation and curettage to remove any infected tissue.

    Copyright:

    © All Rights Reserved
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    of 14

    Cabangon

    Saagundo
    Abejar

    Endometritis Granzon
    Mayowa
    Tabañag
    What is Endometritis?

    • Endometritis is an inflammation of the inner lining of the uterus


    (endometrium), it is associated with the retained products of
    conception following delivery, miscarriage, abortion, or with
    foreign body like an IUD
    • Retained material in the uterus promotes infection by bacterial floral from
    the vagina or intestinal tract
    • The most common cause of infection after
    childbirth
    • The rate of Endometritis is 2% in Vaginal delivery
    and 6-27% after a Caesarean Section
    What are the Causes?

    • Sexually Transmitted Infections (STIs)


    • Tuberculosis
    • Intrauterine Foreign Bodies or Polyps
    • Instrumentation of the uterine cavity (hysteroscopy)
    • Placenta remnants left inside the uterus after delivery, a
    miscarriage or surgical pregnancy termination
    What are the Risk Factors?

    • Delivery via C-Section


    • Intrapartum Chorioamnionitis
    • Prolonged Labor
    • Multiple Pelvic Examinations
    • Internal Fetal Monitoring with the use of scalp electrodes or
    intrauterine pressure catheters
    • Anemia
    • Prelabor Rupture of Membranes
    What are the Symptoms?

    • Fever
    • Abnormal Vaginal Bleeding
    • Subinvolution of the Uterus
    • Tender, Bulky uterus on abdominal examination
    • Pain during sexual intercourse (dyspareunia)
    • Elevated WBC (white blood cells) count
    How is Endometritis Diagnosed?

    • The Doctor will look for physical signs of endometritis while


    performing a Pelvic Examination to check for abnormalities.
    • To diagnose Endometritis, cultures are taken from the cervix to
    rule out STIs or any bacterial infection.
    • Pathogens are identified via Endometrial Biopsy
    • MRIs (Magnetic Resonance Imaging) is used to determine the
    location and size of any endometrial implants, allowing Doctors to
    have more coverage for Endometriosis Surgery
    • Hysteroscopy is carried out to check the lining of the uterus
    What are the Possible Complications?

    • Infertility
    • Pelvic Infection:
    • Pelvic Abscess, Pelvic Peritonitis, Tubo-Ovarian Abscess, Septic
    Thrombophlebitis
    • Septic Shock
    How is Endometritis Treated?

    • Immediate treatment requires antibiotics to prevent any further


    complications of the pathogen. Antibiotics are to be taken timely and
    with the right dose
    • Doxycycline (orally-once or twice a day) is preferred for Chronic Endometritis,
    it targets bacteria and protozoa such as chlamydia and syphilis.
    • Symptoms and treatment are more severe after childbirth where
    hospitalization and uterine curettage is necessary
    • Pus and Infected tissue requires urgent removal
    • For acute cases, it does not necessarily have to be connected to
    pregnancy but it is contracted due to STIs (Sexually Transmitted
    Infections) or Invasive gynecological procedures. Surgical management
    is not required but Dilation and Curettage (D&C) might be advised to
    retain conception.
    Can Endometritis be Prevented?

    • Postpartum Endometritis can be prevented by starting


    prophylactic antibiotic therapy which prevents acute and chronic
    endometritis.
    • Safe sex practices can prevent acquiring STIs
    Source:

    • www.flo.health.com
    INFECTION OF THE PERINEUM
    Infection of the Perineum
    • Results from a suture line on her perineum from an episiotomy
    or a laceration repair that gets infected.

    ASSESSMENT
    SYMPTOMS:
    > Pain
    > Heat
    > Feeling of pressure
    > May or may not have an elevated temperature

    * Inspection of the suture line reveals the inflammation


    • A sterile cotton-tipped applicator is used to touch the secretion for culture
    THERAPEUTIC MANAGEMENT
    > Open the perineal sutures
    - to open the area and to allow drainage
    > Packing, such as iodoform gauze
    - is placed to the open lesion to keep it open

    NOTE: Make sure that the women is aware that the packing is in place
    so she knows not to dislodge it as she changes her perineal pad.

    • A systemic or topical antibiotic is ordered even before the culture


    report id returned.
    • An analgesic may be prescribed to alleviate discomfort
    • Sitz baths or warm compress
    - to hasten drainage and to cleanse the area
    • Remind to the woman to change perineal pads frequently
    - if it is left in place for too long it might cause vaginal
    contamination or reinfection.
    • Washes the hands before holding the newborn
    • Encourage the woman to ambulate and ask for analgesia
    as needed.

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