Prediction of reproductive disorders in women who have had postpartum endometritis
Prediction of reproductive disorders in women who have had postpartum endometritis Tkachenko L.V., Sviridova,N.I. Gritsenko I.A., Skladanovskaya T.V., Khasaeva M.I. According to the literature, the lack of rehabilitation after postpartum endometritis is one of the most common causes of chronic inflammatory diseases of the pelvic organs, which lead to a violation of a woman 's reproductive function in the future. The objective. Assessment of predictive risk factors for the development of disturbance reproductive function in women who have suffered postpartum endometritis. Materials and methods. A cohort retrospective study of 846 case histories of patients aged 18 to 35 years with morphologically verified chronic endometritis was conducted. The main group consisted of 180 patients whose delivery was complicated by the development of postpartum endometritis. The control group included 120 women who had a history of birth through the natural birth canal, not complicated by postpartum endometritis. Results and discussion. Retrospective analysis of medical histories included the study of anamnestic data and identification of risk factors due to burdened somatic status and burdened obstetric and gynecological history, as well as risk factors due to the peculiarities of the current pregnancy, childbirth and postpartum period. The variety of factors affecting the development of disorders in the reproductive system in women who have suffered postpartum endometritis causes difficulties in the management of this cohort of patients, which dictates the need to find a differentiated approach to early rehabilitation of reproductive function. Conclusion. At risk for the development of reproductive disorders after suffering postpartum endometritis should include patients with highly infectious index in children; burdened premorbid background of inflammatory diseases of the gastrointestinal tract, urinary and respiratory systems as well as having burdened obstetric history of intrauterine high frequency surgery, high incidence of chronic inflammatory diseases of the pelvic organs; a complicated pregnancy, childbirth and postpartum period.