How to treat endometritis during pregnancy preparation

Women who have endometritis during pregnancy should pay attention to it and make sure to detect and treat it early. So how to treat endometritis? What are the examination items for endometritis? How to take care of endometritis? The following editor will introduce you in detail.

How to treat endometritis

General treatment

Patients with acute endometritis should rest in bed, preferably in a semi-recumbent position, to help limit the inflammation and drain the uterine secretions; hot compresses can be applied to the lower abdomen to promote the absorption of inflammation and relieve pain; bowel movements should be kept open to reduce pelvic congestion and facilitate the excretion of toxins; excessive gynecological examinations should be avoided to prevent the spread of inflammation; physical cooling can be used for high fever; a diet of liquid or semi-liquid, easily digestible foods containing high calories, high protein, and multiple vitamins is recommended. Those who cannot eat should receive intravenous nutrition and water supplements, and pay attention to correcting electrolyte imbalances and acidosis.

Remove uterine cavity residues and other foreign bodies

If endometritis occurs after childbirth or abortion, if there is suspected placental tissue residue, it should be removed immediately while using antibiotics, but it is better to gently protrude the residue in the uterine cavity, and try not to perform curettage. Curettage can be performed only when the antibiotics reach a certain dose and the inflammation is under control to prevent the spread of inflammation. If there is active bleeding in the uterus, the uterine cavity can be cleaned with the use of a large amount of antibiotics. For those with contraceptive devices in the uterus, they should also be removed as soon as possible to eliminate the primary lesion and control the spread of inflammation.

Uterine dilation and drainage and estrogen therapy

For chronic endometritis and senile endometritis, the cervical dilation method can be used to assist in the treatment, so as to facilitate the drainage of uterine secretions and eliminate the inducement. Elderly patients can also use a small amount of estrogen.

What are the items to check for endometritis

Routine gynecological examination: Routine gynecological examination is a routine gynecological examination performed on women, which is divided into gynecological specialist physical examination and related auxiliary examinations.

Diagnostic curettage: A curettage procedure is a procedure in which a metal dilator is used to dilate the cervix so that a scraper can be inserted into the uterus to scrape the endometrium. This procedure is used to obtain a biopsy to diagnose endometrial abnormalities.

Vaginal discharge examination: Normal leucorrhea is white, pasty, and has no odor. If it is close to ovulation, the leucorrhea is mostly clear and transparent, egg white-like, and the amount is relatively large. After ovulation, the leucorrhea is white, turbid, viscous, and the amount is relatively small.

How to take care of endometritis

Improve resistance: Female patients should actively control the onset of the original disease, pay attention to improving their own resistance, pay attention to changes in other parts of the body, and avoid inducing infection.

Moderate exercise: After childbirth, you should pay attention to reducing pelvic congestion and avoiding uterine retroversion. You should do moderate exercise, such as knee-chest lying position. You should also pay attention to rest after childbirth. Doing heavy work will increase abdominal pressure, which will cause the uterus to shift downward from its normal position along the vagina, inducing aggravation of the disease.

Do not indulge in promiscuous sex: Female patients should not indulge in promiscuous sex. Unclean sexual life can cause pathogens to enter the uterine cavity through the vagina, causing endometrial infection, which is the main cause of endometritis. Patients should also pay attention to contraception. Frequent abortions will aggravate the disease.

Pay attention to personal hygiene: Women should pay attention to personal hygiene to avoid bacterial infection, which may worsen the disease. The patient's underwear, used bathtubs, towels, etc. should be boiled in hot water for disinfection. Pay attention to private hygiene, change underwear frequently, and choose loose cotton underwear.