Postpartum infections: pathogenesis, diagnosis, treatment
The review deals with postpartum infection. It has been shown that in the pathogenesis of infectious-inflammatory complications in puerperas, along with the action of infectious agents, the impairments of the immune and interferon status, hemostasis and hormonal balance are of great importance. The clinical picture is varied, with prevalence of occult and atypical forms of postpartum infection. The diagnosis is based on the findings of microbiological (if indicated – virological), biochemical, histological, echographic examinations, and MRI scans. Treatment is always complex, including the use of antibacterial, antiviral, detoxicant, rheo- and immunocorrecting drugs, medication to improve general well-being, and vacuum aspiration of the uterine content.