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Aim. To reveal the risk factors for the development of prenosological and nosological forms of health care-associated infections in puerperas. Materials and methods. To reveal the factors of risk, experimental and control groups were formed: the experimental group 1 154 puerperas with nosological forms; the experimental group 2 181 puerperas with prenosological forms; the control group 303 puerperas. It was a retrospective study of case control type. Results. According to the results of the study, the following risk factors for the development of nosological forms were stated: pregnancy-caused hypertension, prenatal hospitalization longer than 1 day, first labor, disturbances of labor activity, minor obstetric operations, cervical rupture, deep vaginal mucosa rupture, 24 degree perineal rupture, anhydrous period longer than 4 hours, separate stay; risk factors for the development of prenosological forms: unregistered marriage, irregular observation at antenatal clinic during pregnancy, onset of sexual life before 18, absence of education, extragenital pathology, prenatal hospitalization longer than 1 day, preeclampsia and placental disturbances during pregnancy, first labor, preeclampsia in labor, hydramnios, disturbances of labor activity, anhydrous period longer than 4 hours, augmentation of labor, cesarean section, especially urgent, deep vaginal mucosa rupture, postnatal anemia, separate stay. Conclusions. Most factors, elevating the risk for the development of both nosological and prenosological forms, are connected with the period of labor. Risk factors for the development of prenosological forms are characterized by a great variety and enclose a vast majority of risk factors for the development of nosological forms. |
