Zervixdilatation und Kürettage während eines primären Kaiserschnitts – eine retrospektive Analyse

Berlit, Sebastian; Nickol, Jana; Weiß, Christina; Tuschy, Benjamin; Temerinac, D; Mayer, Johannes Gottfried; Sütterlin, Marc; Kehl, Sven

doi:10.1055/s-0033-1361316

Cited by 3 publications

(3 citation statements)

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“…The causes of impaired endometrial regeneration could include a low estrogen level in the mother's blood, which decreases immediately after the end of pregnancy [20]. Berit et al demonstrated that there was no clinical benefit of cervical dilatation and curettage in caesarean section but an increased time of surgery [21]. They did not find a significant influence of curettage on postpartum bleeding, necessity for blood transfusion, postoperative fever, endometritis, or wound infection.…”

Section: Discussionmentioning

confidence: 99%

“…They did not find a significant influence of curettage on postpartum bleeding, necessity for blood transfusion, postoperative fever, endometritis, or wound infection. Berit et al found statistically significantly prolonged operating time in patients undergoing cervical curettage compared to no curettage of the cervix in elective cesarean section [21]. During the postpartum and postabortion periods, curettage of the uterine cavity must be avoided as much as possible [20].…”

Section: Discussionmentioning

confidence: 99%

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Impact of Intraoperative Factors on the Development of Postpartum Septic Complications

Andzane,

Miskova,

Krone

et al. 2023

Medicina

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Background and Objectives: Triclosan-coated sutures (antibacterial sutures) can reduce the risk of postoperative surgical site infection. This study aimed to investigate the effect of intraoperative factors, including antibacterial sutures, on the risk of postpartum septic complications. Materials and Methods: The prospective study included patients who underwent caesarean section. The exclusion criterion was chorioamnionitis. The investigation group patient’s (n = 67) uterus and fascial sheath of the abdominal wall were sutured with triclosan-coated polyglactin 910 sutures during surgery. The control group consisted of 98 patients using uncoated polyglactin 910 sutures only. The patients were contacted by phone after the 30th postoperative day. Results: No significant difference was found between the investigation group and the control group in the development of postpartum endometritis (11.7% in the investigation group vs. 8.4% in the control group, p = 0.401), wound infection (6.3% vs. 3.6%, p = 0.444) or patients experienced any septic complication (15.9% vs. 12%, p = 0.506). Postpartum endometritis was more common in patients who underwent instrumental uterine examination during the surgery (23.8% vs. 18%, p = 0.043). A moderately strong correlation was found for haemoglobin level on the third–fourth postoperative day with the development of postpartum septic complications, p < 0.001, Pearson coefficient −0.319. Post-caesarean delivery septic complications were not statistically more common in patients with blood loss greater than 1 L. The incidence of post-caesarean endometritis was 13.4%, and wound infection was 4.8% in this study’s hospital, having five to six thousand deliveries per year. Conclusions: Using antibacterial sutures during caesarean section does not affect the incidence of postpartum septic complications. Instrumental uterine examination during caesarean section increases the risk of post-caesarean endometritis and is, therefore, not recommended. Haemoglobin level on the 3rd–4th postoperative day, rather than the estimated blood loss during surgery, affects the development of postpartum septic complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of Intraoperative Factors on the Development of Postpartum Septic Complications

Andzane,

Miskova,

Krone

et al. 2023

Medicina

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“…IUGR is a condition which affects approximately 5-10 % of all pregnancies [5,6]. The etiology of IUGR is roughly divided into maternal, placental and fetal causes (▶ Table 4) [7]. Although the underlying pathophysiological mechanisms may be very different, they often (but not always) lead to the same endpoint: suboptimal uteroplacental perfusion and fetal nutrition.…”

Section: Expert Consensusmentioning

confidence: 99%

Intrauterine Growth Restriction. Guideline of the German Society of Gynecology and Obstetrics (S2k-Level, AWMF Registry No. 015/080, October 2016)

Kehl

Dötsch

Hecher

et al. 2017

Geburtshilfe Frauenheilkd

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Aims The aim of this official guideline published and coordinated by the German Society of Gynecology and Obstetrics (DGGG) was to provide consensus-based recommendations obtained by evaluating the relevant literature for the diagnostic treatment and management of women with fetal growth restriction. Methods This S2k guideline represents the structured consensus of a representative panel of experts with a range of different professional backgrounds commissioned by the Guideline Committee of the DGGG. Recommendations Recommendations for diagnostic treatment, management, counselling, prophylaxis and screening are presented.

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Assessment of the risk of developing fetal development delay syndrome pregnant women in the Republic of Mordovia

Tyurina

Davydova

Pleshkova

et al. 2023

Medicinskij alfavit

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Relevance. He has a signifcant number of studies describing the morphological features of the placenta according to SDRP [4]. Various pathomorphological changes in the placenta tend to correlate with pregnancy outcomes. The study of the placental morphostructure in patients with NWRP allows us to fnd a pathophysiological explanation for the occurrence of this pathology, for choosing a rational strategy of antenatal observation during subsequent pregnancies because this complication may occur during the next pregnancy [1, 2]. At the same time, NWRP is a risk factor for the development of cardiovascular diseases, type 2 diabetes mellitus, and obesity in adulthood. Multiple studies conducted in populations living in different territories, in different ethnic groups, have proved that the birth of children with SDRP increases the risk of pathological conditions in adulthood [3, 4]. In this regard, scientifc research on the NWRP is relevant.Purpose. To study the features of the somatic anamnesis of pregnant women, the course of the gestation process, childbirth, the condition of newborns, the morphological structure of the placenta of full-term infants with SDRP (main group – 200 pregnant women), in comparison with patients randomly selected who gave birth to children with normal body weight (comparison group – 200 pregnant women), observed and delivered in the Republic of Mordovia during from 2020–2021.Materials and methods. As the main research methods, the comparative method and the method of analysis are used in the article, which make it possible to establish causal relationships of phenomena and processes with the greatest accuracy. The research materials are data from sources [1–30].Results and conclusions. When analyzing the data obtained, it was reliably revealed that pregnant women whose gestational process was complicated by SDRP had a younger age, bad habits, socially signifcant diseases (HIV, tuberculosis, and syphilis).

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Zervixdilatation und Kürettage während eines primären Kaiserschnitts – eine retrospektive Analyse

Cited by 3 publications

References 0 publications

Impact of Intraoperative Factors on the Development of Postpartum Septic Complications

Impact of Intraoperative Factors on the Development of Postpartum Septic Complications

Intrauterine Growth Restriction. Guideline of the German Society of Gynecology and Obstetrics (S2k-Level, AWMF Registry No. 015/080, October 2016)

Assessment of the risk of developing fetal development delay syndrome pregnant women in the Republic of Mordovia

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