Abortion infected

Abortion infected. In the long miscarriage may develop ascending infection from the vagina (staphylococcus, chlamydia, Escherichia, Streptococcus and others.), Followed by infection of the endometrium and ovum. Pathogens most often penetrate into the uterus in community-acquired (criminal) abortions. Because the uterus germs spread by hematogenous and lymphogenous on the ovaries, fallopian tubes, pelvic peritoneum on and okopomatochnuyu tissue, causing the development of a variety of localized and generalized complications until septicemia. Depending on the degree of infection distinguished. 1) uncomplicated febrile miscarriage (infection localized in the uterus); 2) complicated febrile miscarriage (the infection has spread beyond the uterus but is limited to the pelvic area); 3) septic miscarriage.

Symptoms within. In uncomplicated miscarriage feverish marked fever, fatigue, headache, tachycardia, leukocytosis. Uterine palpation painless; by appendages, pelvic peritoneum and fiber parauterine no change. Complicated febrile miscarriage is characterized by a deterioration of general condition of the patient, the appearance of pain in the lower abdomen, fever, high leukocytosis, elevated ESR. The uterus is sensitive to palpation, determined by a one- or two-way increase its appendages. If the inflammatory process involved pelvic peritoneum, lower abdominal peritoneal observed phenomena. When septic abortion, the patient's condition serious: stunning chills, high fever with symptoms of intoxication, pale skin, sclera jaundice, toxic changes in parenchymal organs. Often developed septic peritonitis, thrombophlebitis, septic pneumonia, acute renal failure.

Treatment. In uncomplicated miscarriage remove infected parts of the ovum (active method), or postpone the operation until subsiding manifestations of infection (expectant method). When complications and septic abortion prescribed massive doses of antibiotics (but with obligatory taking into account the sensitivity of the microbial flora to them), sulfonamides, desensitizing preparations, vitamins, in / in a liquid. The remains of the ovum is removed only when heavy bleeding (for health reasons). Typically, the remnants of fetal eggs are removed only after the infection subsided (preferably vacuum aspiration).