SlideShare a Scribd company logo
1 of 19
Download to read offline
ENDOMETRITIS
MIDWIFERY SUBJECT FOR
CORE CORSE
R.N. Zainab Neamat
Jumaah
What is endometriosis?
DEFINITION
Endometritis is an inflammation or
irritation of the lining of the uterus (the
endometrium).
It is not the same as Endometriosis.
A reproductive
system with
Endometritis
A reproductive system
with growth of
Endometriosis
Causes
• Endometritis is caused by an infection in the uterus. It can
be due to chlamydia, gonorrhea, tuberculosis, or a mix of
normal vaginal bacteria. It is more likely to occur after
miscarriage or childbirth. It is also more common after a
long labor or C-section.
The risk of Endometritis is higher after having a pelvic
procedure that is done through the cervix. Such
procedures include:
• D & C
• Endometrial biopsy
• Hysteroscopy
• Placement of an intrauterine device (IUD)
Endometritis can occur at the same time as other pelvic
• Abdominal distension
• Abnormal vaginal bleeding
• Abnormal vaginal discharge
-increased amount
-unusual color , consistency or odor
• Discomfort with bowel movement (including
constipation)
• Fever( range from 37.8 to 40˚ C)
• General discomfort, uneasiness, or ill feeling
(malaise)
• Pain in lower abdomen or pelvic region
(uterine pain)
Symptoms :
Exams and Tests
The health care provider will perform a physical
exam with a pelvic exam. the uterus
and cervix may be tender and the bowel sound
may be decreased. Patient may have cervical
discharge.
The following tests may be performed:
• Cultures from the cervix
for chlamydia, Gonorrhea, and other organisms
• Endometrial Biopsy
• ESR (Sedimentation Rate)
• Laparoscopy
• WBC (White Blood Count)
• Wet Prep (microscopic exam of any discharge)
TREATMENT
Treatment with antibiotics is important to treat
the infection and prevent complications.
Complicated cases those occurring after
childbirth or involving severe symptoms may
require the patient to be admitted to hospital.
Intravenous antibiotics are usually needed
,followed by antibiotics taken by mouth.
Rest and hydration are important.
Treatment for sexual partners and appropriate
use of condoms throughout the course of
treatment are essential.
Possible Complications
• Infertility
• Pelvic peritonitis (generalized pelvic
infection)
• Pelvic or uterine abscess formation
• Septicemia
• Septic Shock
Prevention
Endometritis caused by sexually transmitted
infections can be prevented by:
Early diagnosis and complete Treatment of
sexually transmitted infections (STIs) in the
patient and all sexual partners.
Following safer sex practices, such as using
condoms.
The risk of Endometritis is reduced by careful,
sterile techniques used by appropriate
providers in performing deliveries , Abortions
IUD placement and other Gynecological
Procedures.
Acute Endometritis
• Acute Endometritis is characterized by infection. The
organisms most often isolated are believed to be because
of compromised abortions, delivery, medical
instrumentation, and retention of placental fragments.
• Histologically, Neutrophilic infiltration of the endometrial
tissue is present during acute endometritis. The clinical
presentation is typically high fever and purulent vaginal
discharge.
• Menstruation after acute endometritis is excessive and in
uncomplicated cases can resolve after 2 weeks of
clindamycin and Gentamycin IV antibiotic treatment.
• In certain populations, it has been associated
with mycoplasma Genilarium and PID.
Chronic Endometritis
• Chronic Endometritis is characterized by the presence
of plasma cells in the stroma.
• Lymphocytes, Eosinophils, and even lymphoid follicles may
be seen, but in the absence of plasma cells, are not enough
to warrant a histologic diagnosis. It may be seen in up to
10% of all endometrial biopsies performed for irregular
bleeding. The most common organisms are Chlamydia ,
Neisseria Gonorrhea, Streptococcus Agalactiae (Group B
Streptococcus), Mycoplasma Hominis, tuberculosis , and
various viruses.
• Most of these agents are capable of causing chronic (PID).
Patients suffering from chronic Endometritis may have an
underlying cancer of the cervix or endometrium (although
infectious etiology is more common). Antibiotic therapy is
curative in most cases (depending on underlying etiology),
with fairly rapid alleviation of symptoms after only 2 to 3
Nursing Care Plan
A Woman with Endometriosis
•Angela Hall is a 31-year-old married accountant,
who relates a history of severe dysmenorrhea
and menorrhagia, a feeling of pelvic heaviness
and pain that radiates down her thighs.
•Because of her discomfort, her husband has
complained about the quality of their sex life and
has expressed concerns about their plans for
having children. Mrs. Hall reports being so tired
she doesn’t care whether she has sex or not,
and, in fact, would really prefer not to: “Sex
hurts so much, I just can’t stand it.”
Endometriosis is suspected, and a diagnostic
ASSESSMENT
•Christine Brigham, RN, NP, interviews Mrs. Hall
and makes the following assessments:
BP 110/70, P 68, R 18, T (36.7°C).
Mrs. Hall’s weight is (59 kg) and within normal
limits for her height.
Review of laboratory findings indicate a
hemoglobin level of 9.8 g/dL (normal range: 12
to 16 g/dL) and a hematocrit of 33.1% (normal
range: 35% to 45%).
Physical examination reveals pelvic tenderness
on manipulation of the cervix, and small masses
that are palpable on abdominal/pelvic
DIAGNOSIS
•Chronic pain, related to endometrial pelvic
implants.
•Anxiety, related to effect of endometriosis on
fertility.
•Deficient knowledge, related to diagnosis and
treatment options.
•Ineffective sexuality patterns, related to the
manifestations of endometriosis.
EXPECTED OUTCOMES
•Develop effective self-care measures to deal
with the pain and discomfort.
•Verbalize decreased anxiety.
•Demonstrate understanding of the disease and
treatment options.
•Verbalize an improvement in sexual functioning
and a decrease in interpersonal stress between
herself and her husband.
PLANNING AND IMPLEMENTATION
•Identify the location, type, duration, and history
of the pain.
•Recommend analgesics and heat therapy.
•Provide information on biofeedback, relaxation,
and imagery to lessen pain.
•Discuss with Mr. and Mrs. Hall the causes of
endometriosis and its manifestations.
•Encourage the Halls to discuss their feelings
about the effect of the disease on their sex life,
lifestyle, and fertility.
•Refer the couple to the local mental health
center if appropriate.
EVALUATION
• Two years after the initiation of treatment, Mr. and Mrs.
Hall have become parents of a baby girl.
• Mrs. Hall states that the discomfort and other
manifestations of endometriosis have eased.
• Relaxation and imagery have effectively minimized her
pain and brought about improvement in her function as
wife, mother, and sexual partner.
• Counseling has improved the interpersonal and sexual
relations between the Halls.
• Dietary management has improved her anemia,
although the menorrhagia persists.
• The Halls are trying to have a second child,
understanding the advantages of rapid succession of
pregnancies. They will be followed in the nursing clinic
and referred to an infertility clinic if conception does
THANK YOU

More Related Content

What's hot (20)

Endometriosis- Easy explanation with Management...
Endometriosis- Easy explanation with Management...Endometriosis- Easy explanation with Management...
Endometriosis- Easy explanation with Management...
 
Puerperal Pyrexia
Puerperal PyrexiaPuerperal Pyrexia
Puerperal Pyrexia
 
Pelvic inflammatory disease
Pelvic inflammatory diseasePelvic inflammatory disease
Pelvic inflammatory disease
 
Endometriosis
EndometriosisEndometriosis
Endometriosis
 
Menorrhagia
MenorrhagiaMenorrhagia
Menorrhagia
 
Pelvic inflammatory diaease
Pelvic inflammatory diaeasePelvic inflammatory diaease
Pelvic inflammatory diaease
 
Congenital malformations of female genital tract ppt
Congenital  malformations of female genital tract pptCongenital  malformations of female genital tract ppt
Congenital malformations of female genital tract ppt
 
Dysfunctional uterine bleeding
Dysfunctional uterine bleedingDysfunctional uterine bleeding
Dysfunctional uterine bleeding
 
Vulvitis
VulvitisVulvitis
Vulvitis
 
Mastitis
MastitisMastitis
Mastitis
 
Dysmenorrhea
DysmenorrheaDysmenorrhea
Dysmenorrhea
 
Uterine fibroids
Uterine fibroidsUterine fibroids
Uterine fibroids
 
Rupture of the uterus
Rupture of the uterusRupture of the uterus
Rupture of the uterus
 
Ectopic pregnancy
Ectopic pregnancyEctopic pregnancy
Ectopic pregnancy
 
Pelvic inflammatory diseases
Pelvic inflammatory diseasesPelvic inflammatory diseases
Pelvic inflammatory diseases
 
Pelvic inflammatory disease (PID)
Pelvic inflammatory disease (PID)Pelvic inflammatory disease (PID)
Pelvic inflammatory disease (PID)
 
Salpingitis and related diseases
Salpingitis and related diseasesSalpingitis and related diseases
Salpingitis and related diseases
 
Prom
PromProm
Prom
 
Septic Abortion
Septic AbortionSeptic Abortion
Septic Abortion
 
dysfunctional uterine bleeding
dysfunctional uterine bleedingdysfunctional uterine bleeding
dysfunctional uterine bleeding
 

Viewers also liked

Viewers also liked (20)

Endometritis aguda y crónica
Endometritis  aguda y crónicaEndometritis  aguda y crónica
Endometritis aguda y crónica
 
Endometritis puerperal
Endometritis puerperalEndometritis puerperal
Endometritis puerperal
 
Endometritis
EndometritisEndometritis
Endometritis
 
Endometritis
EndometritisEndometritis
Endometritis
 
Endometritis aguda y crónica
Endometritis  aguda y crónicaEndometritis  aguda y crónica
Endometritis aguda y crónica
 
Endometritis caso clinio mas pae
Endometritis caso clinio mas paeEndometritis caso clinio mas pae
Endometritis caso clinio mas pae
 
4. endometritis & metritis
4. endometritis & metritis4. endometritis & metritis
4. endometritis & metritis
 
Endometritis postparto
Endometritis postpartoEndometritis postparto
Endometritis postparto
 
Infección Puerperal
Infección Puerperal Infección Puerperal
Infección Puerperal
 
Infecciones puerperales 2012
Infecciones  puerperales 2012Infecciones  puerperales 2012
Infecciones puerperales 2012
 
2006 Endometritis
2006 Endometritis2006 Endometritis
2006 Endometritis
 
Endometritis puerperal. Dra. Sofía Crocco B.
Endometritis puerperal. Dra. Sofía Crocco B.Endometritis puerperal. Dra. Sofía Crocco B.
Endometritis puerperal. Dra. Sofía Crocco B.
 
Sub-clinical endometritis and its effect on the fertility of dairy cattle
Sub-clinical endometritis and its effect on the fertility of dairy cattleSub-clinical endometritis and its effect on the fertility of dairy cattle
Sub-clinical endometritis and its effect on the fertility of dairy cattle
 
20.Pelvic Inflammatory Disease
20.Pelvic Inflammatory Disease20.Pelvic Inflammatory Disease
20.Pelvic Inflammatory Disease
 
Patología endometrial
Patología endometrialPatología endometrial
Patología endometrial
 
Cervicitis
CervicitisCervicitis
Cervicitis
 
ENDOMETRIOSIS
ENDOMETRIOSISENDOMETRIOSIS
ENDOMETRIOSIS
 
Pelvic inflammatory disease
Pelvic inflammatory diseasePelvic inflammatory disease
Pelvic inflammatory disease
 
Infección puerperal
Infección puerperalInfección puerperal
Infección puerperal
 
Endometriosis
EndometriosisEndometriosis
Endometriosis
 

Similar to Endometritis

Recent Advances in Endometriosis
Recent Advances in EndometriosisRecent Advances in Endometriosis
Recent Advances in EndometriosisShivani Sachdev
 
ENDOMETRIOSIS:THE PROBLEM STATEMENT: Dr. Sharda Jain,Life care cente
ENDOMETRIOSIS:THE PROBLEM STATEMENT: Dr. Sharda Jain,Life care centeENDOMETRIOSIS:THE PROBLEM STATEMENT: Dr. Sharda Jain,Life care cente
ENDOMETRIOSIS:THE PROBLEM STATEMENT: Dr. Sharda Jain,Life care centeLifecare Centre
 
Endometriosis and adenomyosis.pptx
Endometriosis and adenomyosis.pptxEndometriosis and adenomyosis.pptx
Endometriosis and adenomyosis.pptxNIYONSENGAAntoine2
 
gyanaecology.endometriosis and adenomyosis.(dr.salama)
gyanaecology.endometriosis and adenomyosis.(dr.salama)gyanaecology.endometriosis and adenomyosis.(dr.salama)
gyanaecology.endometriosis and adenomyosis.(dr.salama)student
 
Female Reproductive Disorders (Instant notes for college students)
Female Reproductive Disorders (Instant notes for college students)Female Reproductive Disorders (Instant notes for college students)
Female Reproductive Disorders (Instant notes for college students)PRANJAL SHARMA
 
Endometriosis and fertility how and when to treat
Endometriosis and fertility how and when to treatEndometriosis and fertility how and when to treat
Endometriosis and fertility how and when to treatDr Aditya Keya
 
Sex ed and pregnancy
Sex ed and pregnancySex ed and pregnancy
Sex ed and pregnancyminimedschool
 
Reproductive Disorder-Lecture001 _AH_ Rabia.pptx
Reproductive Disorder-Lecture001 _AH_ Rabia.pptxReproductive Disorder-Lecture001 _AH_ Rabia.pptx
Reproductive Disorder-Lecture001 _AH_ Rabia.pptxRabia Noreen
 
Dr. david WolEndometriosis.pptx
Dr. david WolEndometriosis.pptxDr. david WolEndometriosis.pptx
Dr. david WolEndometriosis.pptxWol Nang
 
Sexually transmitted infections and contraceptive methods
Sexually transmitted infections and contraceptive methodsSexually transmitted infections and contraceptive methods
Sexually transmitted infections and contraceptive methodspaula suarez
 
SALPINGITIS.pptx
SALPINGITIS.pptxSALPINGITIS.pptx
SALPINGITIS.pptxBryanmpeka
 
Endometriosis-A Key Concern for Women in Their Reproductive Years.pptx
Endometriosis-A Key Concern for Women in Their Reproductive Years.pptxEndometriosis-A Key Concern for Women in Their Reproductive Years.pptx
Endometriosis-A Key Concern for Women in Their Reproductive Years.pptxFFragrant
 
BIOLOGY FORM 5 CHAPTER 4 - 4.1 F FERTILITY & INFERTILITY
BIOLOGY FORM 5 CHAPTER 4 - 4.1 F FERTILITY & INFERTILITYBIOLOGY FORM 5 CHAPTER 4 - 4.1 F FERTILITY & INFERTILITY
BIOLOGY FORM 5 CHAPTER 4 - 4.1 F FERTILITY & INFERTILITYNirmala Josephine
 
Reproductive health in human
Reproductive health in humanReproductive health in human
Reproductive health in humanvidan biology
 
Reproductive health in human
Reproductive health in humanReproductive health in human
Reproductive health in human227777222an
 

Similar to Endometritis (20)

Endometritis
EndometritisEndometritis
Endometritis
 
Recent Advances in Endometriosis
Recent Advances in EndometriosisRecent Advances in Endometriosis
Recent Advances in Endometriosis
 
Recent Advances in Endometriosis
Recent Advances in EndometriosisRecent Advances in Endometriosis
Recent Advances in Endometriosis
 
Genital tract infection
Genital tract infectionGenital tract infection
Genital tract infection
 
ENDOMETRIOSIS:THE PROBLEM STATEMENT: Dr. Sharda Jain,Life care cente
ENDOMETRIOSIS:THE PROBLEM STATEMENT: Dr. Sharda Jain,Life care centeENDOMETRIOSIS:THE PROBLEM STATEMENT: Dr. Sharda Jain,Life care cente
ENDOMETRIOSIS:THE PROBLEM STATEMENT: Dr. Sharda Jain,Life care cente
 
Endometriosis and adenomyosis.pptx
Endometriosis and adenomyosis.pptxEndometriosis and adenomyosis.pptx
Endometriosis and adenomyosis.pptx
 
gyanaecology.endometriosis and adenomyosis.(dr.salama)
gyanaecology.endometriosis and adenomyosis.(dr.salama)gyanaecology.endometriosis and adenomyosis.(dr.salama)
gyanaecology.endometriosis and adenomyosis.(dr.salama)
 
Female Reproductive Disorders (Instant notes for college students)
Female Reproductive Disorders (Instant notes for college students)Female Reproductive Disorders (Instant notes for college students)
Female Reproductive Disorders (Instant notes for college students)
 
Endometriosis and fertility how and when to treat
Endometriosis and fertility how and when to treatEndometriosis and fertility how and when to treat
Endometriosis and fertility how and when to treat
 
Abc endometriosis 29.11.20 (2)
Abc endometriosis 29.11.20 (2)Abc endometriosis 29.11.20 (2)
Abc endometriosis 29.11.20 (2)
 
Sex ed and pregnancy
Sex ed and pregnancySex ed and pregnancy
Sex ed and pregnancy
 
STD.pdf
STD.pdfSTD.pdf
STD.pdf
 
Reproductive Disorder-Lecture001 _AH_ Rabia.pptx
Reproductive Disorder-Lecture001 _AH_ Rabia.pptxReproductive Disorder-Lecture001 _AH_ Rabia.pptx
Reproductive Disorder-Lecture001 _AH_ Rabia.pptx
 
Dr. david WolEndometriosis.pptx
Dr. david WolEndometriosis.pptxDr. david WolEndometriosis.pptx
Dr. david WolEndometriosis.pptx
 
Sexually transmitted infections and contraceptive methods
Sexually transmitted infections and contraceptive methodsSexually transmitted infections and contraceptive methods
Sexually transmitted infections and contraceptive methods
 
SALPINGITIS.pptx
SALPINGITIS.pptxSALPINGITIS.pptx
SALPINGITIS.pptx
 
Endometriosis-A Key Concern for Women in Their Reproductive Years.pptx
Endometriosis-A Key Concern for Women in Their Reproductive Years.pptxEndometriosis-A Key Concern for Women in Their Reproductive Years.pptx
Endometriosis-A Key Concern for Women in Their Reproductive Years.pptx
 
BIOLOGY FORM 5 CHAPTER 4 - 4.1 F FERTILITY & INFERTILITY
BIOLOGY FORM 5 CHAPTER 4 - 4.1 F FERTILITY & INFERTILITYBIOLOGY FORM 5 CHAPTER 4 - 4.1 F FERTILITY & INFERTILITY
BIOLOGY FORM 5 CHAPTER 4 - 4.1 F FERTILITY & INFERTILITY
 
Reproductive health in human
Reproductive health in humanReproductive health in human
Reproductive health in human
 
Reproductive health in human
Reproductive health in humanReproductive health in human
Reproductive health in human
 

Recently uploaded

SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfHongBiThi1
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdfHongBiThi1
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 

Recently uploaded (20)

SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 

Endometritis

  • 1. ENDOMETRITIS MIDWIFERY SUBJECT FOR CORE CORSE R.N. Zainab Neamat Jumaah
  • 3. DEFINITION Endometritis is an inflammation or irritation of the lining of the uterus (the endometrium). It is not the same as Endometriosis.
  • 4. A reproductive system with Endometritis A reproductive system with growth of Endometriosis
  • 5. Causes • Endometritis is caused by an infection in the uterus. It can be due to chlamydia, gonorrhea, tuberculosis, or a mix of normal vaginal bacteria. It is more likely to occur after miscarriage or childbirth. It is also more common after a long labor or C-section. The risk of Endometritis is higher after having a pelvic procedure that is done through the cervix. Such procedures include: • D & C • Endometrial biopsy • Hysteroscopy • Placement of an intrauterine device (IUD) Endometritis can occur at the same time as other pelvic
  • 6. • Abdominal distension • Abnormal vaginal bleeding • Abnormal vaginal discharge -increased amount -unusual color , consistency or odor • Discomfort with bowel movement (including constipation) • Fever( range from 37.8 to 40˚ C) • General discomfort, uneasiness, or ill feeling (malaise) • Pain in lower abdomen or pelvic region (uterine pain) Symptoms :
  • 7. Exams and Tests The health care provider will perform a physical exam with a pelvic exam. the uterus and cervix may be tender and the bowel sound may be decreased. Patient may have cervical discharge. The following tests may be performed: • Cultures from the cervix for chlamydia, Gonorrhea, and other organisms • Endometrial Biopsy • ESR (Sedimentation Rate) • Laparoscopy • WBC (White Blood Count) • Wet Prep (microscopic exam of any discharge)
  • 8. TREATMENT Treatment with antibiotics is important to treat the infection and prevent complications. Complicated cases those occurring after childbirth or involving severe symptoms may require the patient to be admitted to hospital. Intravenous antibiotics are usually needed ,followed by antibiotics taken by mouth. Rest and hydration are important. Treatment for sexual partners and appropriate use of condoms throughout the course of treatment are essential.
  • 9. Possible Complications • Infertility • Pelvic peritonitis (generalized pelvic infection) • Pelvic or uterine abscess formation • Septicemia • Septic Shock
  • 10. Prevention Endometritis caused by sexually transmitted infections can be prevented by: Early diagnosis and complete Treatment of sexually transmitted infections (STIs) in the patient and all sexual partners. Following safer sex practices, such as using condoms. The risk of Endometritis is reduced by careful, sterile techniques used by appropriate providers in performing deliveries , Abortions IUD placement and other Gynecological Procedures.
  • 11. Acute Endometritis • Acute Endometritis is characterized by infection. The organisms most often isolated are believed to be because of compromised abortions, delivery, medical instrumentation, and retention of placental fragments. • Histologically, Neutrophilic infiltration of the endometrial tissue is present during acute endometritis. The clinical presentation is typically high fever and purulent vaginal discharge. • Menstruation after acute endometritis is excessive and in uncomplicated cases can resolve after 2 weeks of clindamycin and Gentamycin IV antibiotic treatment. • In certain populations, it has been associated with mycoplasma Genilarium and PID.
  • 12. Chronic Endometritis • Chronic Endometritis is characterized by the presence of plasma cells in the stroma. • Lymphocytes, Eosinophils, and even lymphoid follicles may be seen, but in the absence of plasma cells, are not enough to warrant a histologic diagnosis. It may be seen in up to 10% of all endometrial biopsies performed for irregular bleeding. The most common organisms are Chlamydia , Neisseria Gonorrhea, Streptococcus Agalactiae (Group B Streptococcus), Mycoplasma Hominis, tuberculosis , and various viruses. • Most of these agents are capable of causing chronic (PID). Patients suffering from chronic Endometritis may have an underlying cancer of the cervix or endometrium (although infectious etiology is more common). Antibiotic therapy is curative in most cases (depending on underlying etiology), with fairly rapid alleviation of symptoms after only 2 to 3
  • 13. Nursing Care Plan A Woman with Endometriosis •Angela Hall is a 31-year-old married accountant, who relates a history of severe dysmenorrhea and menorrhagia, a feeling of pelvic heaviness and pain that radiates down her thighs. •Because of her discomfort, her husband has complained about the quality of their sex life and has expressed concerns about their plans for having children. Mrs. Hall reports being so tired she doesn’t care whether she has sex or not, and, in fact, would really prefer not to: “Sex hurts so much, I just can’t stand it.” Endometriosis is suspected, and a diagnostic
  • 14. ASSESSMENT •Christine Brigham, RN, NP, interviews Mrs. Hall and makes the following assessments: BP 110/70, P 68, R 18, T (36.7°C). Mrs. Hall’s weight is (59 kg) and within normal limits for her height. Review of laboratory findings indicate a hemoglobin level of 9.8 g/dL (normal range: 12 to 16 g/dL) and a hematocrit of 33.1% (normal range: 35% to 45%). Physical examination reveals pelvic tenderness on manipulation of the cervix, and small masses that are palpable on abdominal/pelvic
  • 15. DIAGNOSIS •Chronic pain, related to endometrial pelvic implants. •Anxiety, related to effect of endometriosis on fertility. •Deficient knowledge, related to diagnosis and treatment options. •Ineffective sexuality patterns, related to the manifestations of endometriosis.
  • 16. EXPECTED OUTCOMES •Develop effective self-care measures to deal with the pain and discomfort. •Verbalize decreased anxiety. •Demonstrate understanding of the disease and treatment options. •Verbalize an improvement in sexual functioning and a decrease in interpersonal stress between herself and her husband.
  • 17. PLANNING AND IMPLEMENTATION •Identify the location, type, duration, and history of the pain. •Recommend analgesics and heat therapy. •Provide information on biofeedback, relaxation, and imagery to lessen pain. •Discuss with Mr. and Mrs. Hall the causes of endometriosis and its manifestations. •Encourage the Halls to discuss their feelings about the effect of the disease on their sex life, lifestyle, and fertility. •Refer the couple to the local mental health center if appropriate.
  • 18. EVALUATION • Two years after the initiation of treatment, Mr. and Mrs. Hall have become parents of a baby girl. • Mrs. Hall states that the discomfort and other manifestations of endometriosis have eased. • Relaxation and imagery have effectively minimized her pain and brought about improvement in her function as wife, mother, and sexual partner. • Counseling has improved the interpersonal and sexual relations between the Halls. • Dietary management has improved her anemia, although the menorrhagia persists. • The Halls are trying to have a second child, understanding the advantages of rapid succession of pregnancies. They will be followed in the nursing clinic and referred to an infertility clinic if conception does