FEATURES OF THE MANAGEMENT OF PATIENTS WITH POSTPARTUM PURULENT-SEPTIC COMPLICATIONS

Abstract

Postpartum purulent-septic diseases are one of the topical issues of modern obstetrics due to their high prevalence and absence of a downward trend toward reduction in the disease incidence.Aim. Іmprove the management of high risk puerperas to prevent the development of purulent-septic complications in the postpartum period.Material and methods. The cohort prospective comparative study included 78 puerperas who experienced spontaneous labour complicated by injuries to birth canals. The patients were divided into two groups according to the risk of developing purulent-septic complications and the management of patients. Group 1, (n = 20) included the puerperas who did not show any signs of inflammatory diseases of the genital tract during pregnancy. Group 2 included patients, who were diagnosed with various forms of vaginal dysbiosis based on the results of bacterioscopic and bacteriological examination of the genital tract. The group was further divided into two subgroups depending on the type of treatment. Subgroup 1 of Group 2 (n = 28) only received standard hygiene care, and Subgroup 2 (n = 30) received standard hygiene procedures combined with vaginal irrigation using chlorhexidin solution for 3 days in the obstetric hospital.Research results. The study resulted in improving postpartum care of high-risk puerperas to prevent purulent-septic complications.Discussion. The test results showed that the use of chlorhexidin in the postpartum period prevents the purulent-septic complications of puerperium, such as inflammation and disruption of perineal muscle sutures and endometritis, as well as relieves pain and discomfort, and improves the puerperas’ quality of life.Conclusion. Based on the study results, we recommend the use of this drug in the early postpartum period to prevent purulentseptic complications in the high-risk groups.