[Puerperal deciduometritis. Importance of mechanical cervical dilatation]

A prospective, longitudinal, comparative, experimental design, was carried out at CMN T HGZ No. 16, from Dec 5, 1988 to July 5, 1989, in order to evaluate the importance of cervical dilatation in puerperal endometritis management. Two groups of thirty patients each, were formed at random. Cervical dilatation was performed in Group A, and it was not done in Group B. Signs and symptoms as uterine pain, uterine sub-involution, fever, fetid and/or purulent lochia remitted in two to three days average, and hospital stay was six days for both groups. During the study two patients of each group showed complications (6.66%). Therefore, these results show that cervical dilatation, performed as a part of puerperal deciduometritis management, has little or none therapeutic value.