[Structural changes in the endometrium of puerperae with high risk of development of endometritis in the postpartum period].

The endometrium of 72 puerperae referred to a high-risk group in respect of developing infectious complications was examined on days 3-18 of the puerperium. The periods of epithelialization and regeneration onset in abnormal course of the puerperium were detected, and the morphologic criteria of these processes specified. In cases with cesarean sections these processes started 2-3 days later than after spontaneous delivery.

[Clinical-morphological parallels in postpartum endometritis].

Clinicomorphologic parallels were studied in 45 puerperants with postpartum endometritis. This condition was histologically confirmed in 42 of the 45 patients with its clinical symptoms (in 100% of patients with the grave, in 95% with the medium-severity, and in 83% of those with the benign form of the disease). The authors came to the conclusion that the severity of postpartum endometritis was directly dependent on the extent and depth of the uterine wall involvement in the inflammatory process.

[The importance of cytological study of lochia in assessing uterine function in the puerperal period].

Cytologic analysis of lochia in 118 puerperae helped distinguish 5 types of cytograms. A normal postpartum period is characterized by a gradual transition from an inflammatory to regenerative type. Subinvolution of the uterus is associated with a prolonged persistence of the inflammatory regenerative type, this pointing to deceleration of endometrium purification processes.

[Diagnostic value of lochial pH, pCO2,and pO2 in puerperal endometritis].

A new method has been developed for rapid diagnosis of puerperial endometritis, based on measurements of lochial pH, pCO2, and pO2. Endometritis development is associated with acidosis in the uterine cavity (pH 6.8-7.