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Uterine Infection

Infection in the uterus is caused by haemolytic streptococcus. It is a dreaded disease until penicillin and sulphonamides were introduced. Today, this infection is already rare and controllable as well. Uterine infections nowadays occasionally occur in women especially to those who are up-to date with techniques.

The symptoms of uterine infection are not very serious. Upon physical assessment, the midwife will take note of the signs of infection such as slight tenderness upon movement and palpation. A uterine swab will be taken and will be sent to lab for bacteria culture and organism isolation to find the antibiotics sensitive to the particular bacteria. The doctor will be notified regarding the culture results then antibiotic therapy will be started to control the infection.

Symptoms

Uterine InfectionThe signs and symptoms involved in uterine infection depends on the causative agent involved and infection severity. The first sign of uterine infection is offensive lochia. The lochia becomes more brighter and profuse compare to the normal characteristics of lochia. The uterus becomes slightly tender or the woman feels lower abdominal discomfort that is more remarkable on the other side than the other. The pulse and temperature are slightly raised.

Some of the common sign and symptoms include recurrent miscarriage and infertility and adhesions on the uterus cause the period to be infrequent of very light or stopped. Asherman’s syndrome is also a symptom which can be accompanied by pain in the pelvis or menstrual periods that are painful if the adhesions block the blood leaving from the cervix.

Causes

One of the common causes of uterine infection is the presence of some fragments left during birth delivery. The fragments can be a placenta which was not fully delivered or any fragments associated with birth that causes bleeding within the uterus making it a room for bacteria to thrive. An ultrasound should be done to show if there are any fragments retained.

Uterine leiomyomas is another condition causing a uterine infection. Growth factors of myoma include epidermal growth factors and other growth factors, estrogen and progesterone hormones and other steroid hormones.

Diagnosis

· Hysterosalpingography diagnoses the presence of adhesions.

· Enlarged uterus upon physical examination and accurate patient history indicating uterine leiomyomas.

· Blood studies with results of anemia may support the diagnosis due to abnormal bleeding.

· Bimanual examination shows firm, non-tender, enlarged and an irregularly contoured uterus. These are also seen in adenomyosis and other pelvic conditions.

· Ultrasound is done for accurate assessment showing the number, dimension and tumor location if any.

· MRI shows a clear image of the uterus.

Health care tips

· If you have any discomfort in the lower abdominal area, consult your doctor and he/she will be prescribing necessary antibiotics for reducing the risk of adhesion formation.

· Pelvic pain and abnormal bleeding should be reported immediately.

· Iron should be administered to patients with severe bleeding to prevent anemia.

· Blood transfusions and supplements may be ordered.

· Encourage the patient to express her concerns and feelings towards the disease process through verbalization to ease any feelings of depression.

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