Risk Factors Associated With Post Cesarean Section Febrile Morbidity

Green, Stephen L.; Sarubbi, Felix A.

doi:10.1097/00006254-197802000-00010

Cited by 34 publications

(20 citation statements)

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“…Risk factors associated with postop erative cesarean section morbidity have been suggested by many authors and they include types of anesthesia [10,11], ane mia [11], internal fetal monitoring [12,13], obesity [10,14] and onset of labor [3,8,[14][15][16]. The onset of labor and consequent vaginal examinations expose the patient to a greater risk of infection [7,17,18] and we did show in a previous study [5] that this is a unique risk factor for postopera tive morbidity.…”

Section: Discussionmentioning

confidence: 99%

Single-versus Multiple-Dose Mezlocillin Prophylaxis in Emergency Cesarean Section

Jaffe¹,

Altaras²,

R³

et al. 1986

Chemotherapy

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163 patients undergoing emergency cesarean section were prospectively and randomized evaluated to determine the effect of mezlocillin in reducing postoperative morbidity. We compared a single 5-gram preoperative dose and a perioperative 3-dose regimen, each of 2 g, with a placebo. Postoperative morbidity was reduced from 65% in the placebo group to 20% in the groups receiving mezlocillin (p < 0.005). The incidences of febrile morbidity, endometritis and urinary tract infection were all significantly lower in both groups given mezlocillin. There was no difference in the reduction of morbidity between the two groups receiving mezlocillin. The main advantages of the prophylaxis included a shorter hospitalization and the absence of serious infections in the treated groups.

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Section: Discussionmentioning

confidence: 99%

Single-versus Multiple-Dose Mezlocillin Prophylaxis in Emergency Cesarean Section

Jaffe¹,

Altaras²,

R³

et al. 1986

Chemotherapy

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“…La presencia de labor previa al parto como factor de riesgo para EPC coincide con lo descrito por Green (20) y Gibbs (21). Sohlberg y Goodling (22) indican que la incidencia de complicaciones febriles post-cesárea se triplica en las pacientes operadas con trabajo de parto.…”

Section: Discusionunclassified

“…La prevalencia fue significativamente mayor cuando los valores eran menores o iguales a 30%. Existen muchos estudios que identifican la anemia como un factor importante en el desarrollo de endometritis (5,20,13,19,41).…”

Section: Discusionunclassified

Endometritis post-cesárea: factores de riesgo.

Salinas¹,

Arroyo²,

Ugarte³

2013

Rev Med Hered

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SUMMARY Objective: To assess the risk factors for post-cesarean endometritis (PCE). Material and methods:A retrospective case-control study was carried out in the Obstetric Service at the Hospital Nacional Cayetano Heredia from January 1st, 1992 to July 31st, 1996. We used bivariate and multivariate analysis of logistic regression, for the statitical analysis. Results: During this period of time there were 82 patients with clinical diagnosis of endometritis. A control group of 82 patients who underwent cesarean section and had a normal puerperium were selected randomly. The factors associated with a significant risk for developing PCE with logistic regression analysis were: Maternal age less than 21 years old and post-operative hematocrit less or equal to 30%. In the group of patients with endometritis, 45.1% of them had a concurrent infection, being post-operative wound infection (29.3%) and urinary tract infection (11%) the most frequent ones. ( Rev Med Hered 1999; 10:105-110 ).KEY WORDS : Endometritis, cesarean section, anemia, adolescent pregnancy, risk factors. RESUMENObjetivo: Determinar los factores de riesgo de endometritis post-cesárea (EPC). Material y métodos: Se realizó un estudio retrospectivo caso-control en el Servicio de Obstetricia del Hospital Nacional Cayetano Heredia del 1 de Enero de 1992 al 31 de Julio de1996. Para el análisis estadístico se utilizó análisis bivariado y multivariado de regresión logística. Resultados: Durante este período se detectaron 82 pacientes con diagnóstico clínico de endometritis, seleccionándose aleatoriamente igual número de pacientes operadas de cesárea con puerperio normal. Los factores relacionados con un riesgo significativo de EPC fueron: edad materna menor de 21 años y valores de hematocrito post-operatorio menor o igual a 30%. En el grupo de pacientes con endometritis el 45.1% de las pacientes tuvieron infección concomitante, siendo la infección de herida operatoria (29.3%) y la del tracto urinario (11%) las más frecuentes. ( Rev Med Hered 1999; 10:105-110 ).

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“…In 1966, the perinatal mortality rate was 27.1 per 1000 births, but by 1977 it had dropped by 30 per cent to 16.5 per 1000. However, the association of cesarean section with post-operative complications, including an increased incidence of respiratory distress syndrome, has recently brought the rapidly growing CSR under closer scrutiny.5' [12][13][14][15][16][17] observed between the CSR and hospital-specific variables suggestive of socioeconomically underprivileged patient populations. Other Magnifying this interest has been consumer concern regarding monetary and emotional costs of operative deliveries and their effect on mother-infant bonding.…”

Section: Introductionmentioning

confidence: 99%

Cesarean section, fetal monitoring, and perinatal mortality in California.

Williams¹,

Hawes²

1979

Am J Public Health

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The rate of cesarean section in California has been growing at a compound rate of about 10 per cent per annum since 1969, coinciding with the advent of fetal monitoring. It is of interest, therefore, to study the distribution and efficacy of obstetric interventions. Information derived from the 1977 California birth cohort and a survey questionnaire was used to study the factors associated with the rate of cesarean section in 323 hospitals. Significant positive correlations were observed between the cesarean rate (CSR) and hospital factors indicative of a high degree of technology, including the proportion of labors electronically monitored. Significant negative correlations were

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Risk Factors Associated With Post Cesarean Section Febrile Morbidity

Cited by 34 publications

References 0 publications

Single-versus Multiple-Dose Mezlocillin Prophylaxis in Emergency Cesarean Section

Single-versus Multiple-Dose Mezlocillin Prophylaxis in Emergency Cesarean Section

Endometritis post-cesárea: factores de riesgo.

Cesarean section, fetal monitoring, and perinatal mortality in California.

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