Microbiological Aspects in Pathogenesis of Disorders of Uterine Involution
Objective: to study the microbial contamination of uterine cavity in violation of uterine involution and postpartum endometritis. Materials and Methods: A microbiological study of the postpartum uterus and lochia has been carried out in women with disorders of uterine involution and endometritis. We examined 62 women with postpartum complications aged 19 to 40 years: 40 — with disorders of uterine involution, 22 parturients — with postpartum endometritis, and 24 healthy parturients. Microbiological studies of postpartum uterine and lochia were carried out. We studied the size of the microbial associations and their species composition by classical bacteriological method with the isolation and identification of the species of pure cultures of bacteria to genus and species using test kits ATV expression (France). Results. We found a significant difference in microbiological condition of postpartum uterus and lochia. Women with violation of uterine involution had monoinfection, and with endometritis — a combined infection. The importance of microbiological control of postpartum uterine and lochia in women with impaired uterine involution is determined. Conclusions. In violations of uterine involution the degree of contamination is identical to that in the endometritis. Women with endometritis are characterized by the combined infection. Presence of three microorganisms or increase in the initial quantity of one or more may be regarded as endometritis.