Stepwise implementation of vaginal cleansing and azithromycin at cesarean: a quality improvement study

Quist‐Nelson, Johanna; Gomez, Julie; Felder, Laura; Mascio, Daniele Di; Eckler, Rebecca; Paternostro, Amanda; Baxter, Jason K.; Berghella, Vincenzo; Posencheg, Michael A.

doi:10.1080/14767058.2021.1879041

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…This decision helps explain the reason where patients with underlying diabetes in this study were not at increased risk of SSI, in contrast to a previous report [ 10 ]. Our observation of the benefit of vaginal cleansing is consistent with findings from previous studies [ 22 , 23 ].…”

Section: Discussionsupporting

confidence: 93%

Evaluation of independent risk factors associated with surgical site infections from caesarean section

Erritty

Hale

Thomas

et al. 2022

Arch Gynecol Obstet

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Background The present study assessed factors associated with the risk of surgical site infections (SSI) after a caesarean section (C-section). Methods Data were collected in 1682 women undergoing elective (53.9%) and emergency (46.1%) C-sections between 1st August 2020, and 30th December 2021, at a National Health Service hospital (Surrey, UK). Results At the time of C-section, the mean age was 33.1 yr (SD ± 5.2). Compared to women with BMI < 30 kg/m2, those with a BMI ≥ 35 kg/m2 had a greater risk of SSI, OR 4.07 (95%CI 2.48–6.69). Women with a history of smoking had a greater risk of SSI than those who had never smoked, OR 1.69 (95%CI 1.05–2.27). Women with a BMI ≥ 30 kg/m2 and had a smoking history or emergency C-section had 3- to tenfold increases for these adverse outcomes. Ethnic minority, diabetes or previous C-section did not associate with any of the outcomes. Conclusions High BMI, smoking, and emergency C-section are independent risk factors for SSI from C-section. Women planning conception should avoid excess body weight and smoking. Women with diabetes and from ethnic minority backgrounds did not have increased risks of SSI, indicating a consistent standard of care for all patients.

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Section: Discussionsupporting

confidence: 93%