Differentiated approach to the diagnosis of clinical variants of postpartum endometritis
The aim of the study was to develop a scale for the differential diagnosis of clinical and pathogenetic variants of postpartum endometritis. An analysis of the signs of the disease was carried out in 92 puerperas (mean age 25.3 ± 5.4) with infectious postpartum endometritis and in 96 puerperas with hypotonic postpartum endometritis (mean age26.1 ± 5.8 years). Using a consistent statistical analysis of Wald, a scale was developed to quantify the severity of infectious and hypotonic postpartum endometritis, which is based on assigning to clinical and laboratory-instrumental signs of postpartum endometritis score values from 1 to 9. The presented score scale can be used in obstetric-gynecological practice for differential diagnosis of clinical and pathogenetic variants of postpartum endometritis, determining the severity of initial manifestations, as well as to assess the effectiveness of various treatment methods.