The present instructions for use (hereinafter referred to as the instructions)
presents a method that can be used in a set of
medical services aimed at improving the effectiveness of treatment
of postpartum endometritis in parturient women. The use of the method
Allows a differentiated prescription of pathogenetic treatment
to patients with endometritis after childbirth and to prevent the development of
complications in the form of bleeding and sepsis.
The method outlined in this instruction is intended for
Obstetricians-gynecologists and other medical specialists of
Health care organizations providing medical care to parturient women, in
Inpatient and/or outpatient conditions, and/or in the conditions of the
A LIST OF NECESSARY MEDICAL DEVICES,
CONSUMABLES AND MEDICINES
- Gynecological chair and patient examination kit.
- Medical devices corresponding to those for
General blood count and microbiological tests.
- apparatus for ultrasound examination
- Materials: sterile single-use medical syringe for
10 ml; disinfectant; medical gloves;
plaster; antibacterial agent, drug
of uterotonic action.
- Set of tools for curettage of uterine cavity.
DESCRIPTION OF TECHNOLOGY OF METHOD USAGE
- Assessment of clinical symptoms of the disease based on
Based on the collection of the history of the disease in the laboring woman, the content of
leukocytes, hemoglobin, neutrophils, sedimentation rate in general
blood test, the nature of uterine secretions (in mirrors), the size and
uterine tonus (bimanual), ultrasound examination of the organs of
Study of the organs of the pelvis: calculation of the volume of the uterus, measurement of the length, width,
the anteroposterior dimension, the width of the uterine cavity.
- Management decision making:
2.1 Detected abnormalities outside the range of normative
2.1.1 Abnormal findings (inflammatory changes in the CBC: shift in the leucocytic
left shift in the white blood cell formula and increased sedimentation rate; inflammatory
Changes in the uterus according to bimanual examination are
an indication for the prescription of infusion and antibacterial therapy
for systemic use for 7-10 days