Scribd
Upload
115 views21 pages

Endometritis

The endometrium is the inner lining of the uterus. Endometritis is an inflammation of this lining that is usually caused by a bacterial infection entering the uterus. It can be acute following procedures like childbirth or abortion, or chronic with repeated miscarriages or IVF failure. Symptoms include pelvic pain and abnormal bleeding or discharge. Diagnosis involves examinations, imaging, and microbiological testing. Treatment focuses on antibiotics and resting, while complications can include infertility or spread of the infection. Prevention emphasizes clean techniques during procedures and treating any underlying infections.

Uploaded by

Roshni Sunar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
115 views21 pages

Endometritis

The endometrium is the inner lining of the uterus. Endometritis is an inflammation of this lining that is usually caused by a bacterial infection entering the uterus. It can be acute following procedures like childbirth or abortion, or chronic with repeated miscarriages or IVF failure. Symptoms include pelvic pain and abnormal bleeding or discharge. Diagnosis involves examinations, imaging, and microbiological testing. Treatment focuses on antibiotics and resting, while complications can include infertility or spread of the infection. Prevention emphasizes clean techniques during procedures and treating any underlying infections.

Uploaded by

Roshni Sunar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 21

Endometrium

• Endometrium is the lining of


uterus. It consists of columnar
epithelium and stroma. It has a two
layers;
1) Functional built after end of
mensturation during the first part
of the previous menstural cycle. It
sheds during mensturation .
2) Basal layer is not shed during
menstural cycle and functional
layer develops from it.
INTRODUCTION

• Endometritis refer to inflammation of the endometrium ,the lining of the


uterus.

• In addition to the endometrium, inflammation may involve the myometrium


and occasionally the parametrium.

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


endometrium.
TYPES OF ENDROMETRITIS
• Acute endometritis:acute endometritis is characterized by infection.

• The most common cause of infection is after abortion, after delivery


medical instrumentation or multiple vaginal examination.

• Chronic endometritis: chronic endometritis is a persistent


inflammation of the lining of the uterine cavity.

• It is a condition frequently associated repeated unexplained


implementation failure at in vitro fertilization, recurrent miscarriage,
as well as poor obstetric outcomes such as preterm labor.
CAUSES
Endometritis is caused by infection such as gonorrhea, tuberculosis or
mixture of normal vaginal bacteria.

Endometritis is more likely to occur after miscarriage or child birth,


especially after miscarriage or child birth especially after a long labour
or cesarian section.

A medical procedure that involves entering the uterus through the


cervix will increase the risk of developing endometritis, this includes
hyterescopy, and placement of an IUCD.
Cont..
• Endometritis can occur at the same time as other pelvic infection such
as acute salphingitis, acute cervicitis and many sexually transmitted
infection.
RISK FACTOR OF ENDOMETRITIS

• Hysteroscopy

• Placement of an intrauterine device

• Dilation and curettage

• Cervicitis

• Prolonged labour, membrane rupture.


Pathophysiology

• Most cases of endometritis result from childbirth. Specifically,


the rupture of the amniotic sac allows translocation of normal
bacterial flora from the cervix and vagina to the usually aseptic
uterus. This bacteria is more likely to colonize uterine tissue
that has been devitalized, bleeding, or otherwise damaged .
This bacteria can invade the endometrium-, myometrium-, and
perimetrium, causing inflammation and infection.
SYMPTOMS OF ENDOMETRITIS
• Pelvic or abdominal pain

• Vaginal bleeding

• Un usual discharge

• Fever or chills

• Constipation
• foul smelling and purulent lochia
Contd..
• Redness

• Swelling

• Tachycardia
DIAGNOSIS

• History taking

• Physical examination

• Investigation: culture from the cervix for chlamydia, gonorrhea and


other organism.
• Endometrial biopsy.
• Ultra sound
• Laparoscopy
PREVENTION

• early diagnosis and complete treatment of sexually transmitted


infections.

• Practicing safe sex, such as using condom

• The risk of endometritis is reduced by the careful, sterile technique


used by providers when delivering a baby or performing an abortion,
IUCD placement or other gyneocological procedure.
POSSIBLE COMPLICATION

• Infertility

• Pelvic peritonitis

• Pelvic or uterine abscess formation

• Septicemia

• Septic shock
TREATMENT
• Keep patient in bed rest

• Give broad-spectrum antibiotics eg :ampicillin until the report of high


vaginal swap has waited.

• Modify the treatment according to the sensitivity of the organisms


found.

• Pyometra is present ,drainge of pus by simple dilation should be done


first.
• Oestrogen supplements ethinyloestradiol vaginal cream is helpful.
CONTD..
• In unresponsive cases or with recurrent attacks, hysterectomy should
be done.

• Dexocycline 100mg every 12 hour+metronidazole 5oomg every 12


hour.doxycylinic is not contraindicated in breastfeeding mother if it is
use if for less than three week.

• Levofloxacin 5oomg every 24 hour+metronidazole 5oomg every 8


hours levo floxacin should be avoided in breastfeeding mothers.
CONTD..

• For patient with moderate to severe endometritis and or patient with


cesarean section intravenous antibiotics and admission are
recommended option are as follows.

 gentamicin 1.5mg\kg iv every 8 hour or 5mg\kg iv every 24 hour and


clindamycin 900mg every 8 hour

Removing tissues: if there is any tissue left in the uterus after


childbirth or a miscarriage ,need to removed
Contd..
• Treating any abscesses: if an abscess from in the abdomen from the
infection, surgery or needle aspiration will be needed to remove the
infected fluid or pus.

• If the infection is sexually transmitted, a women sexual partner also


need to be treated.
This Photo by Unknown Author is licensed under CC BY-NC
REFERENCESS
• Subedi prasai durga text book of gynecocology nursing page no 8o-88

• Awasthi Sherpa mamata text book of midewifery nursinh part 3 page


no 9o-92

• Dutta dc text book of gynecology 2016 edition page no 78-82

• Subedi devi maya text book of midewifery and gynecology nursing


part 1 page no 286-287
• Awasthi Sherpa mamata text book of mide wifery gynocological
nursing page no 45-53
This Photo by Unknown Author is licensed under CC BY-NC-ND

You might also like