Erosion of The Cervix

Subject: Midwifery I (Theory)

Overview

It is a condition in which the central columnar epithelium protrudes out through the external OS of the cervix, onto the vaginal portion of the cervix. It is also known as ectropion. Causes of Erosion of the cervix are Contracting chronic infection, Unusual Ph balance, Increased in estrogen level and Trauma. Signs and symptoms are Difficulties in urination, Lower abdominal cramp, bleeding, Pain or bleeding during intercourse, includesBack pain and Increased vaginal discharge/ leucorrhoea. It's measures of trincludeDiathermy, Cryocautery, Infection prevention by use of prophylactic antibiotics and Post- operative advice.

It is a condition in which the central columnar epithelium protrudes out through the external OS of the cervix, onto the vaginal portion of the cervix. It is also known as ectropion.

Causes

  1. Contracting chronic infection
  2. Unusual Ph balance
  3. Increased in estrogen level
  4. Trauma

Signs and symptoms

  1. Difficulty in urination
  2. Lower abdominal cramp, bleeding
  3. Pain or bleeding during intercourse
  4. Back pain
  5. Increased vaginal discharge/ leucorrhoea

Diagnosis

  1. History taking
  2. Physical examination
  3. Cervical biopsy

Treatment

  1. Diathermy
  2. Cryocautery
  3. Infection prevention by use of prophylactic antibiotics
  4. Post- operative advice

Prevention

1. Raise the foot end of the bed and keep the patient warm

2. Give oxygen as per as patient need

3. Give IM pethidine 100 mg and diazepam 10 mg

4. Encourage to patient to do blood test (hemoglobin, grouping, cross match)

5. Start Iv infusion with 5% dextrose to maintain hydration

6. Transfuse the blood according to need

 

REFERENCE

BabyPedia. 02. 07. 2017. https://baby-pedia.com/cervical-erosion-causes-symptoms-treatments/

Saxton, D.F., 2001, Mosby’s comprehensive review of nursing 17th edition, Mosby year book, St. Louis London, Philadelphia, Sydney

Netdoctor. 07 November 2013. http://www.netdoctor.co.uk/ask-the-expert/sexual-health/a11315/what-is-cervical-

To WomenHealth. http://www.2womenshealth.com/Cervical-Erosion-Symptoms.htm

Tuitui R. 2002, A textbook of Midwifery A (Antenatal), 3rd edition, Vidyarthi Pustak Bhnadar (Publisher and Distributor), Bhotahity, Kathmandu
Things to remember
  • It is a condition in which the central columnar epithelium protrudes out through the external OS of the cervix, onto the vaginal portion of the cervix.
  • It is also known as ectropion.
  • Causes of Erosion of the cervix are Contracting chronic infection, Unusual Ph balance, Increased in estrogen level and Trauma.
  • Signs and symptoms are Difficulties in urination, Lower abdominal cramp, bleeding, Pain or bleeding during intercourse, Back pain and Increased vaginal discharge/ leucorrhoea.
  • Its measures of treatment include Diathermy, Cryocautery, Infection prevention by use of prophylactic antibiotics and Post- operative advice.
Questions and Answers

Erosion of the cervix

In this condition, the central columnar epithelium extends onto the vaginal portion of the cervix through the external OS of the cervix. It's also referred to as ectropion.

Causes

  • Acquiring a persistent infection
  • A strange pH equilibrium
  • Elevated estrogen levels
  • Trauma

Treatment

  • Diathermy
  • Cryocautery
  • The use of prophylactic antibiotics to prevent infections.
  • After-operational guidance

Prevention

  • Raising the bed's foot end will help the patient stay warm.
  • If the patient requires, administer oxygen
  • Send IM 100 mg of pethidine and 10 mg of diazepam
  • The patient to undergo a blood test
  • To maintain hydration, begin an intravenous infusion of 5% dextrose.
  • Transfuse the blood as necessary

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