Active prevention of postpartum endometritis in pregnant women with anaerobic dysbiosis and planned cesarian section.

Medičnì Perspektivi

关键词: vaginal dysbiosis;    diagnosis;    pharmacological therapy;    prevention ofpostpartum purulent-septic infection;    planned caesarean section;   

DOI  :  10.26641/2307-0404.2015.3.53126

来源: DOAJ

【 摘 要 】

In the structure of inflammatory di­seases postpartum endometritis (PE) retains its leading position. The likelihood of postpartum endometritis deve­lopment after cesarean section increases by 5-10 times compared with spontaneous labor and its frequency has no tendency to decrease. The urgency of PE problem is determined not only by its high prevalence, economic losses, but its possible complications (uterine suture failure and generalization of infection as well). Clinical picture of PE currently is characterized by late manifastation, presence of atypical and asymptomatic forms with mismatched general reaction of the organism and severity of the local pathological process. The leading role in the etiology of PE belongs to conditionaly pathogenic microflora, in the most cases (90%) presence of strict anaerobic nonsporeforming mic­roorganisms, composing part of the normal flora of the genital tract in women. The aim of the study was the development of the principles of active prevention of postpartum endometritis in women with severe vaginal anaerobic dysbiosis while planning cesarean section.

【 授权许可】

Unknown