Postoperative Surgical Site Infection among Patients with Caesarean Delivery in the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Koirala, Poonam; Koirala, Ishita; Bajracharya, Sunita; Rijal, Hima; Ghimire, Asmita; Chamlagain, Anita

doi:10.31729/jnma.8185

Cited by 3 publications

(7 citation statements)

References 16 publications

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“…The postpartum period is usually divided into three separate but continuous phases [14]: acute phase (early postpartum period) -24 hours immediately after childbirth; subacute phase (late postpartum period): can last 2-6 weeks after childbirth; late phase -can last from 6 weeks to 6 months after childbirth [15].…”

Section: Introductionmentioning

confidence: 99%

“…The postpartum period is characterized by a wide range of new states of women's life and increased sensitivity to external factors. The whole range of postnatal changes can be considered as an integrative combination of psychological, physiological and endocrine factors [14,16,17] that affect the physical and mental activity of women, as well as determine their relationship with the child.…”

Section: Introductionmentioning

confidence: 99%

“…A woman's lifestyle and, as a result, her physical, psycho-emotional and social state after childbirth undergo fundamental changes [14,18]. There is an increase in the load against the background of physical exhaustion or weakening due to pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…The initial or acute period covers the first 6-12 hours after delivery. This is a time of rapid change with the potential for immediate crises such as postpartum hemorrhage, uterine inversion, amniotic fluid embolism, and eclampsia [13,14,15].…”

Section: Introductionmentioning

confidence: 99%

“…The third phase is the delayed postpartum period, which can last up to 6 months [14]. Changes during this phase are extremely gradual, and pathology is rare.…”

Section: Introductionmentioning

confidence: 99%

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Features of the Physiology of the Postpartum Period After Caesarean Section

Kuravska,

Aravitska,

Churpiy

et al. 2024

Scientific and practical journal

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The main principle of perinatal obstetrics is to ensure the health of the mother, fetus and newborn, which in some cases requires quick and gentle delivery. Therefore, during the last decades, cesarean section (CS) in obstetric practice has become a tool that allows you to preserve the health of both the mother and the child. Despite its wide distribution, CS is classified as a category of complex operations with a high frequency of postoperative complications (3.3%-54.4%), which are associated with the intervention technique, obstetric and neonatal reasons. Potential structural and functional complications include: the risk of pulmonary, gastrointestinal and vascular complications; postoperative pain and discomfort; pelvic organ prolapse; posture change; pelvic floor dysfunction; weakness of the abdominal wall; diastasis of rectus abdominis muscles; umbilical hernia; general functional limitations. Scientific progress in medicine, social and cultural changes have led to fundamental transformations in the attitude to CS among women and doctors. In fact, the consensus regarding indications for caesarean section has changed in many countries, now including psychosocial factors such as anxiety about childbirth or the mother's desire for caesarean section in the absence of any medical indication. The postpartum period is a critical, but often overlooked, period in the lives of new parents. According to the WHO, the majority of maternal and newborn deaths occur during this period, so proper management and care of parents and newborns is vitally important. The postpartum period is usually divided into three separate but continuous phases: acute phase (early postpartum period) - 24 hours immediately after childbirth; subacute phase (late postpartum period): can last 2-6 weeks after childbirth; late phase - can last from 6 weeks to 6 months after childbirth. The postpartum period is characterized by a wide range of new states of women's life and increased sensitivity to external factors. The whole range of postnatal changes can be considered as an integrative combination of psychological, physiological and endocrine factors that affect the physical and mental activity of women, as well as determine their relationship with the child. Therefore, a caesarean section should be performed according to indications with a mandatory justification. The presence of a postoperative scar in women who underwent an abdominal delivery causes changes in the postpartum period in the form of a specific limitation of mobility during its formation. This aspect is all the more important from the point of view of the onset of future pregnancies, which requires the formation of a full-fledged elastic strong scar on the uterus and soft tissues. The formation of a scar in the postpartum period, in connection with the need for care and feeding of the child, changes as a result of sleep and rest regimes, additionally increases the metabolic, physical, psycho-emotional load, which causes pressure on the adaptive capabilities of the regulatory systems of the woman's body against the background of reconstruction and recovery structural and hormonal components. A woman's condition directly affects her ability to care for and raise a child, return to work and social activity, as well as the quality of life, both personally and within the framework of the environment. Therefore, certain recovery measures are necessary for their normalization as soon as possible.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The third phase is the delayed postpartum period, which can last up to 6 months [14]. Changes during this phase are extremely gradual, and pathology is rare.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Features of the Physiology of the Postpartum Period After Caesarean Section

Kuravska,

Aravitska,

Churpiy

et al. 2024

Scientific and practical journal

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Justification of Features Rehabilitation Interventions During Pregnancy and the Postpartum Period

Kuravska,

Aravitska,

Churpiy

et al. 2023

Scientific and practical journal

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Упродовж останніх десятиліть кесарів розтин в акушерській практиці став інструментом, що дозволяє зберегти здоров’я і матері, і дитині. Сьогодні не викликає сумнівів роль кесарського розтину у зниженні перинатальної смертності та, дещо меншою мірою, – малюкової захворюваності, хоча тільки підвищенням частоти проведення кесарського розтину не можна кардинально вирішити проблему перинатальної патології. За допомогою кесарського розтину на світ з’являються 20% всіх немовлят, а якщо тенденція збережеться, то до 2030 року цей показник збільшиться до 30%. Частка в Україні також зросла з 16% в 2009 році до 24% в 2019 році. Інтенсивний темп життя, надзвичайно насичене інформаційне середовище, екологічне неблагополуччя – все це створює високий рівень щоденного стресового впливу, негативно відбивається на психофізіологічному стані жінок упродовж вразливих самих по собі періодів вагітності та після пологів, що характеризуються напруженими процесами адаптації, балансуванням на межі між здоров’ям і хворобою. Мета дослідження. Провести аналіз літературних та наукових джерел для створення програми фізичної терапії після кесарського розтину, спрямовану на покращення функціональних можливостей жінок та якості їх життя в контексті післяпологових фізичних та психічних змін. Причиною збільшення частоти пологів за допомогою абдомінального пологорозрішення називають зміну профілів ризику серед жінок, що народжують вперше, що стають дедалі старшими. бажанням матері також відіграє певну роль. Зростання частоти також розглядається у зв’язку із змінами у суспільстві – фінансовими, соціальним, культурними. Висновки. В усьому світі зростає тенденція до подальшого збільшення частоти кількості пологів шляхом кесаревого розтину призводить до того, що проблеми реабілітації жінок після їх оперативного розродження набувають важливого медичного і соціального значення. Стан жінки напряму впливає на її можливості по догляду та вихованню дитини, повернення до роботи та соціальної активності, а також на якість життя, як особисто, так і в рамках середовища. Тому необхідні певні заходи відновлення для якнайшвидшої їх нормалізації.

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Incidence of Surgical Site Infection Following Cesarean Section and Its Associated Factors in a Hospital of the Eastern Region, Saudi Arabia: A Retrospective Cohort Study

Albaharnah,

Rashed,

Almuhaimeed

et al. 2024

Healthcare

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Background: Surgical site infections (SSIs) following cesarean sections (CS) pose significant challenges in healthcare settings, prompting this five-year investigation in a Qatif Area general hospital. The study aimed to delineate nuances in SSI occurrences, assess yearly variations, and identify associated risk factors impacting SSI rates among CS patients. Methods: A retrospective analysis of 1584 cesarean sections conducted over five years was undertaken, and the reported SSI cases were examined to calculate the overall and yearly SSI rates. The impact of potential risk factors such as diabetes mellitus, hypertension, and postoperative antibiotic courses on SSI occurrence was examined. Results: The study revealed an overall SC rate of 15.4%. The SSI rate following CS was 4.7% (N = 74), with variations across years ranging from 2.2% in 2020 to a peak of 6.7% in 2022. Notably, 2021 and 2022 demonstrated increased SSI rates compared to prior years. Diabetes mellitus and a surgery duration of more than one hour exhibited a substantial association with SSI occurrence, (OR = 10.76, p = 0.038) and (OR = 3.54, p = 0.002), respectively, signifying independent risk factors. Conclusions: The study underscores the dynamic nature of SSI rates following CS, highlighting an increasing trend in recent years. All cases were managed with the optimal hospital care. Diabetes mellitus and a surgery duration of more than one hour emerged as prominent independent risk factors for SSI, warranting heightened vigilance and tailored preventive measures in this subset of patients.

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Postoperative Surgical Site Infection among Patients with Caesarean Delivery in the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Cited by 3 publications

References 16 publications

Features of the Physiology of the Postpartum Period After Caesarean Section

Features of the Physiology of the Postpartum Period After Caesarean Section

Justification of Features Rehabilitation Interventions During Pregnancy and the Postpartum Period

Incidence of Surgical Site Infection Following Cesarean Section and Its Associated Factors in a Hospital of the Eastern Region, Saudi Arabia: A Retrospective Cohort Study

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