Pregnancy with endometritis
Women in pregnancy with endometritis are at higher risk of premature birth, as well as suffering adverse pregnancy outcomes.
Specialists who treat women with repeated miscarriages or fetal death should perform the investigation of chronic endometritis and indicate a treatment.
Many of the cases of spontaneous abortions are due to a pregnancy with endometritis, therefore, it is best to do endometrial biopsy to these women to corroborate that they suffer from endometritis and indicate the appropriate treatment, so that they can have another pregnancy healthily.
What is endometritis?
It is known as endometritis to inflammation of the endometrium, which is the inner layer of the uterus where embryo implantation occurs.
Endometritis is caused by an infection of the uterus that may be due to chlamydia, gonorrhea, tuberculosis or a combination of normal vaginal bacteria.
Symptoms of endometritis
The first symptoms of endometritis are lower abdominal pain and uterine pain on palpation, followed by fever, and there is often paleness, tachycardia and leukocytosis; The uterus is soft, large and painful, and women tend to have a sparse or profuse and smelly flow, with or without blood.
Types of endometritis
1. Acute endometritis: acute inflammation of the endometrium for a short time.
2. Chronic endometritis: prolonged inflammation of the endometrium, which is caused by the colonization of common germs in this uterine layer.
3. Puerperal endometritis: uterine infection caused by bacteria that rose from the lower genital tract or from the urogenital tract.
Prevention of endometritis
Preventing endometritis is essential, therefore, you should take the right techniques for that. Certainly, vaginal delivery can not be sterile, but aseptic techniques should be used.
When delivery is by caesarean section, prophylactic antibiotic therapy administered within 60 minutes before surgery can reduce endometritis by up to 75%.
What risks exist in a pregnancy with endometritis?
In a pregnancy with endometritis there is a likelihood of premature birth, in addition, some studies indicate that there is an increased risk of miscarriage in women with endometritis.
In some cases, women with this condition are more likely to suffer from preeclampsia, which is a potentially dangerous condition and consists of high blood pressure during the third trimester of pregnancy, and the presence of proteins in the urine.
Detection and treatment of pregnancy with endometritis
The diagnosis of endometritis is made by endometrial biopsy, in addition, an evaluation of the area is carried out and studies are indicated to exclude other causes.
This diagnosis is made within 24 hours of delivery and it is based on finding clinical symptoms of spontaneous pain and palpation, and that it has a temperature > 38° C.
However, the treatment is carried out with broad spectrum IV antibiotics until the woman is afebrile for 48 h.
This treatment is so effective that it gets to normalize the situation in more than 80% of cases without the need to re-perform an endometrial biopsy to confirm that there is no endometritis.