The first time after childbirth can be overshadowed by some complications, especially likely if the baby was born with the help of a surgical procedure. The most common problem is inflammation of the uterine lining. Endometritis after cesarean section is found in 5% of new mothers. And if the operation was an emergency, not a planned one, more often.
Read in this article.
Causes of endometritis
Why do doctors emphasize the frequency of occurrence of pathology after cesarean? The operation leads to the appearance of circumstances that can not be in natural childbirth:
- To remove the child, the wall of the organ is dissected, which greatly facilitates the path of bacteria and microbes. Infection of the suture can cause inflammation to spread to other layers of the uterus. This makes the course of endometritis difficult.
- Suture material can contribute to the occurrence of an infection if a woman’s body rejects it. And the very presence of a healing incision on the uterus wall prevents its contractions, that is, it provokes a delay in the cavity of lochia. They are an organic nutrient for bacteria.
- The intervention leads to glucocorticosteroid insufficiency, which reduces immunity and is a reason for the spread of infection. A woman produces a large amount of histamine, that is, there is an intracellular conflict. And it does not contribute to resistance to bacteria.
Among the causes of endometritis are those that may be present with any mode of delivery, but those who survived Cesarean are more likely to develop:
- reducing the activity of the body’s defenses;
- pathologies available prior to delivery that require caesarean (diabetes, kidney disease, metabolic disorders, problems with the lungs);
- loss of a large amount of blood in the process of the birth of a baby;
- high water flow;
- neglect of the principles of septic and antiseptics by doctors during childbirth and in the subsequent care of the patient.
Signs of illness after the birth of a baby
Endometritis after cesarean section may show symptoms as early as 1–2 days after the intervention, less often 4–5 days later. Often note the following:
- body temperature rises to high values (sometimes it is noted from 37 to 37.5 degrees);
- fever, abdominal pain and headache, weakness, nausea;
- the change in heart rate becomes noticeable (the indicator increases);
- after a couple of days, lochia becomes cloudy, with water and an unpleasant smell, possibly purulent inclusions;
- volume of output from the uterus increases;
- sometimes the seam on the abdomen is swollen;
- there is flatulence, constipation, and difficulty urinating.
The specialist who leads the patient will notice that:
- uterus palpation painful;
- body temperature has different values throughout the day;
- the cavity of the reproductive organ is dilated, and the muscles do not contract well;
- leukocyte volume and ESR increased in blood;
- in the uterus there are extraneous inclusions, air accumulations and deformations in the area of the suture.
Treatment of endometritis after cesarean includes an extensive list of drugs of different influence.