Postpartum inflammatory diseases

Postpartum inflammatory diseases of occur in women against the background of decreased activity of immunobiological processes. Their course depends on the impact of pathogens on the body, and after delivery, any of them can act as a causative agent of infection. This is due to the fact that pregnancy and childbirth present to the body of a woman increased demands and, consequently, in the postpartum period there is a great danger of the development of infectious processes. In particular, the uterus after childbirth is a vast wound surface, richly equipped with vessels. As a rule, there are small fragments of fetal membranes and blood clots in it, which creates favorable conditions for the development of the infectious process. Long-term delivery, stressful situations due to insufficient anesthesia, significant blood loss, as well as trauma to the soft tissues of the birth canal leads to profound changes in the woman's body.

When the occurrence of postpartum inflammatory diseases, the nature of their course depends both on the localization and prevalence of the inflammatory process, and on the type of pathogens. So, with infection caused by staphylococci, most often there is a combination of local purulent process with pronounced intoxication of the organism;when infected with E. coli, total intoxication is combined with a decrease in blood pressure. If the local infectious process is caused by gram-negative bacteria, pus appears, usually having a greenish color and a specific odor. Diseases caused by two or more types of bacteria may have signs characteristic of each of these pathogens and are characterized by severe course.

Inflammation of the uterus and its appendages

The most frequent manifestation of postpartum infection was uterine inflammation( endomyometritis), which occurs after delivery, with complications. Symptoms of the disease appear on the 1-5th, less often - on the b-7th day after childbirth. As a rule, the body temperature rises to 38-39 ° C, occasionally a chill occurs. In the majority of patients with a classic course of the disease, the uterine soreness is observed for 3-7 days, the character of the discharge from the genital tract, which is usually bleeding at first,purulent with a characteristic odor

In women who have experienced uterine inflammation in childbirth, secretions from the genital tract have a purulent character from the very beginning. The described clinical picture is observed 3-7 days, then during treatment, normalization occursbody temperature, the soreness of the uterus disappears, the character of the discharge disappears

In women with postpartum inflammation of the uterus, which has been sutured in the delivery of a rupture or incision of the perineum, there is often a divergence of the sutures, in some, the classical form of endomyometritis is combined with infectious lesions of the urinary tract, mammary glandsetc.

To the onset of the inflammatory process in the fallopian tubes and ovaries after delivery, the causative agent of gonorrhea or other pyogenic bacteria, the catThey fall into the tubes from the uterine cavity. Perhaps their penetration and lymphatic pathways. With inflammation, the ovaries increase and become painful, possibly the appearance of a purulent process in them.

Inflammation of the uterine appendages is soldered to the pelvic wall. Inflammation begins more often after 7-10 days after delivery with the appearance of soreness and a feeling of heaviness in the lower parts of the small pelvis, the body temperature can be subfebrile and somewhat higher.

If the infection in the postpartum period goes beyond the pelvic floor, then it acquires common forms( peritonitis, sepsis).Timely and adequate treatment of inflammation of the uterus after childbirth is not only very important for improving the patient's condition, but also the most effective measure for the prevention of severe infectious diseases. Of great importance in this case is the correct management of births, excluding their prolonged course, careful anesthesia, which prevents stressful situations.

Mastitis

To inflammatory diseases after childbirth in women is mastitis - purulent inflammation of the breast tissue. Its causative agent is most often staphylococci, many of which constantly live on our hands, clothes, in the air and do not cause any trouble to the child or mother. Therefore, in the occurrence of mastitis, not only staphylococcus itself is responsible, but also unfavorable conditions when feeding is not yet regulated. There are two reasons for this.

In the first days after childbirth, the breast swells due to the inflow of milk. If there is no possibility to empty it because of thin ducts, tight chest, flat nipples or weakness of the baby, milk stagnation occurs. If it is wrong to put the baby to the chest, then on the tender nipples, cracks can form, through which the infection penetrates into the chest.

Here are the signs of beginning mastitis: a sharp rise in body temperature, the appearance of pains in the mammary gland, sometimes causing redness and swelling. As soon as a woman has noticed this, it is wiser for her to immediately consult a doctor. Do not experiment with "home" treatment without the recommendation and supervision of a doctor, because you run the risk of your health and the health of the child. With the onset of inflammation, doctors prescribe treatment. At this time, you can continue to feed the baby. If the treatment is started late and the abscess forms in the mammary gland, surgical intervention is necessary - opening the abscess and emptying it. In such a situation, you can not breast-feed.

We remind you that it is very important to consult a doctor in case of signs of mastitis. Do not abandon treatment if the doctor believes that it is necessary, and make every effort to express the milk.

If you follow these recommendations, you will have a healthy diet, like one patient: "After discharge from the maternity hospital, the nipples had cracks, continued to feed the baby, overcoming the pain. After feeding she made compresses with a decoction of chamomile, then she lubricated the nipples with the Kalanchoe juice and kept them in the air. All has passed, and I have forgotten about a pain at feeding. And then my temperature rose sharply and my chest hurt. Expressed the milk, the child sucked well, and even the husband helped to massage and express. He was cured, the doctor confirmed that everything is fine. "