Presentation on theme: "Endomatritits Al-Najah univercity Nursing college Prepared by :"— Presentation transcript:
1 Endomatritits Al-Najah univercity Nursing college Prepared by : Hamza KHaroof
2 Objective Learning the defintion and causes Learning the risk factor and symptomsIdentify the test usesStudy how treatment and priventionLearning complication
3 Out line Difenetion causes Risk factor Symptoms Exam and test TreatmentPrognosesComplicationprevention
4 DifentionEndometritis is an inflammation or irritation of the lining of the uterus (the endometrium).
5 CausesEndometritis is caused by infections such as chlamydia, gonorrhea, tuberculosis, or mixtures of normal vaginal bacteria.Endometritis usually results from an ascending infection from the lower genital tract.Endometritis is more likely to occur after childbirth, miscarriage, or placement of an intrauterine device (IUD).Any surgical procedure that enters the uterus through the cervix will increase the risk of developing endometritis.Endometritis can occur at the same time as other pelvic infections such as acute cervicitis, and many sexually transmitted diseases (STDs).
6 causesFrom a pathologic perspective, endometritis can be classified as acute versus chronic.Acute endometritis is characterized by the presence of neutrophils within the endometrial glands.Chronic endometritis is characterized by the presence of plasma cells and lymphocytes within the endometrial stroma.
7 Risk factors Caesarean section Prolonged rupture of membranes Long labour with multiple examinationsManual removal of placentaMother's age at extremes of reproductive spanLow socioeconomic status, e.g. home delivery in poor hygiene environmentMaternal anaemiaProlonged surgeryInternal fetal monitoringGeneral anaesthetic
8 Symptoms Abdominal distention Abnormal vaginal bleeding Abnormal vaginal dischargeIncreased amountUnusual color, consistency, or odorDiscomfort with bowel movement (constipation may occur)Fever (ranging from 100 to 104 degrees Fahrenheit)General discomfort, uneasiness, or ill feeling (malaise)Lower abdominal or pelvic pain (uterine pain)
9 Exams and TestsThe health care provider will perform a physical exam and a pelvic exam.The lower abdomen may be tender.Bowel sounds may be decreased.A pelvic exam may cause the uterus and cervix to feel tender. There may be cervical discharge.The following tests may be performed:Cultures from the cervix for chlamydia, gonorrhea, and other organismsEndometrial biopsyESR (sedimentation rate)LaparoscopyWBC (white blood count)
10 TreatmentTreatment with antibiotics is important to prevent complications of endometritis.Complicated cases (those occurring after childbirth, or involving severe symptoms) may require the patient to be admitted to a hospital. Intravenous (in the vein) antibiotics are usually needed, followed by antibiotics taken by mouth.Rest and hydration are important.Treatment for sexual partner(s), when appropriate, and the use of condoms throughout the course of treatment, are essential.
11 Outlook (Prognosis)Most cases of endometritis go away with antibiotics.Untreated endometritis can lead to more serious infection and complications with pelvic organs, reproduction, and general health
12 Possible Complications InfertilityPelvic peritonitis (generalized pelvic infection)Pelvic or uterine abscess formationSepticemiaSeptic shock
13 PreventionEndometritis caused by sexually transmitted infections can be prevented by:Early diagnosis and complete treatment of sexually transmitted diseases in yourself and all sexual partners"Safer" sexual practicesThe risk of endometritis is reduced by the careful, sterile techniques used by appropriate providers in performing deliveries, abortions, IUD insertionsIf you've been prescribed antibiotics following a procedure, it is very important to finish all the medication and follow up with your health care provider.
14 abstractAdolescents appear to have a high incidence of endometritis after cesarean section for reasons that are currently unknown. To better understand this issue, 204 adolescents, aged 14 to 19, and 751 adults were studied following cesarean section.Antibiotics were administered intravenously to all patients immediately after the infant's umbilical cord was clamped. When infection was diagnosed, evaluation of endometrial biopsies and blood samples was undertaken.Results showed that the rate of endometritis was 23 percent among adolescents, but only 11 percent for adults. Certain microorganisms, such as Chlamydia trachomatis and Gardnerella vaginalis, were isolated more frequently from adolescents than from adultsThe high incidence of post-cesarean endometritis suggests that it should be considered a complication of teenage pregnancy. Whether the organisms isolated from these adolescents play a role in endometritis is not known;however, in pregnant adolescents, screening for G. vaginalis and C. trachomatis should be performed prior to delivery. (Consumer Summary produced by Reliance Medical Information, Inc.)Learning