What to do if a patient with endometrial cancer becomes pregnant

Pregnancy and childbirth are sacred and great things. Women in life all have a dream of becoming a mother, but many women have lost this wonderful thing of being a mother because of their own illness. This is a pity. Women with endometrial cancer in life want to know if they can still get pregnant after having endometrial cancer?

During normal pregnancy and delivery, the uterus can remain sterile and free of infection. This is because there is sticky mucus in the cervix that blocks bacteria from entering the uterine cavity. After delivery, the cervix expands, and the amniotic sac and the fetal presenting part cover the expanded uterine cervix. If the water breaks at this time, although the amniotic cavity is connected to the vagina, the amniotic fluid has antibacterial properties, so bacteria cannot survive even if they enter the uterine cavity.

From the 20th week of pregnancy to full term, the antibacterial ability of amniotic fluid will increase with the pregnancy. After the 40th week of pregnancy, the antibacterial ability weakens. Although the uterus is protected by amniotic fluid, some situations can cause intrauterine infection. Such as premature rupture of membranes, failure to give birth after more than 24 hours, or prolonged labor, as well as maternal anemia and weakness, and poor resistance. There are also a small number of pregnant women whose amniotic fluid has poor antibacterial ability. Pathogenic bacteria in the vagina can break through the defense line and enter the uterus, causing infection of the placenta, amniotic fluid, and fetus in the uterus. Severe uterine prolapse can also lead to intrauterine infection.

The cervix and uterine body prolapse outside the vaginal opening and cannot be retracted even after rest, which can cause local blood circulation disorders, resulting in cervical venous congestion, edema, and hyperplasia of fibrous connective tissue. The prolapsed cervix is ​​often significantly enlarged and elongated. The cervix is ​​exposed to the outside of the vagina for a long time, and due to dryness and friction, erosion, ulceration and infection, exudation of purulent secretions or bleeding, and odor. If there is an acute infection in other parts of the parturient, bacteria can also enter the uterus through blood circulation and cause intrauterine infection.

Because the infection occurs in the uterine cavity, the mother may not have any symptoms in the early stage of infection, which often leads to misdiagnosis. If timely treatment is taken in the early stage of infection, it generally has no major impact on the mother and the fetus. If the infection is serious and medication is not used in time, the pathogenic bacteria can enter the maternal blood circulation through the placenta, causing maternal bacteremia, toxic shock, and even death. After the bacteria in the amniotic fluid enter the fetus, the fetus may develop intrauterine pneumonia, sepsis, meningitis, etc. Although some babies do not look abnormal at birth, they may develop the above-mentioned infection phenomena in the neonatal period.

More than half of the fetuses and newborns who are affected may die. Even if they survive, they may suffer from neurological sequelae. Therefore, once the diagnosis is clear, timely and effective treatment measures should be taken, and the pregnancy should be terminated and the fetus delivered early.

In fact, intrauterine infection can be prevented. At the end of pregnancy, sexual intercourse should be strictly prohibited, and attention should be paid to the rest, mood and nutrition of pregnant women. When pregnant women find vaginal discharge, they must not be careless and should go to the hospital for examination in time so that timely preventive measures can be taken. The delivery process should not be too long. Before delivery, you should also pay attention to avoid too many anal and vaginal examinations to prevent intrauterine infection due to unsanitary examination tools, etc., and also reduce the stimulation to the uterus caused by the examination.