Postpartum endometritis is the second type of complication in the postpartum period, which is also diagnosed by ultrasound.
The onset of this disease is possible if the doctors observe the following factors: • gestosis (this factor occurs in the second half of pregnancy, it can be recognized by increased arterial pressure, by edema, and by the appearance of a protein in the urine); • during prolonged labor, especially if the waterless period was quite long; • if the fetus is not properly positioned in the pelvis or is fairly large; • if the bones of the pelvis are narrow in the parturient woman; • if the birth is the first, and the parturient is more than 30 years old; • if a woman gives birth to a first child under the age of 19; • in the event that an abnormal presentation of the placenta, that is, the placenta completely or partially closes the exit of the fetus from the uterus; • if the placenta is located correctly, but has peeled off prematurely; • if at the time of delivery, a woman becomes infected with causative agents of diseases that are sexually transmitted.
There is a certain group of parturient women who require additional attention after childbirth. They are distinguished by the possibility of inflammatory complications. Such a risk group is obligatory in the maternity hospital to have an ultrasound examination, although this is not necessary for the other parturient women. Such a risk group may include women who have a history:
- abortion. The more abortions made, the higher these risks;
- during previous pregnancies or childbirth there were a number of complications;
- in the body there are sites with a chronic infection, for example, chronic tonsillitis, pyelonephritis or inflammation of the genital organs.
If a woman lends itself to pernicious habits during childbearing, for example, smokes or consumes alcohol, she a priori falls into the risk group. Also, the major risk factors for the onset of inflammatory processes in the postpartum period can be a severe course of pregnancy and the very process of childbirth. These may include:
- premature delivery;
- protracted anhydrous period. That is, from the beginning of the withdrawal of water until the baby's birth, more than 12 hours passed;
- sluggish labor activity;
- large blood loss during childbirth, namely more than 0.5 liters;
- Examination of the uterine cavity after delivery by hands. This is necessary if the doctor needs to make sure that there are no placenta particles or membranes in the uterine cavity;
- traumatic tract trauma;
Disease, in which an inflammatory process occurs in the fetal membranes. When an endometritis is found it is necessary to undergo active antibacterial treatment. It is necessary to do this, as in the future a number of more serious complications can take place against the background of postpartum endometritis, up to infertility and miscarriage of the fetus.