Chorioamnionitis and Infectious Complications after Vaginal Delivery
| Autor: | Sarah K. Dotters-Katz, R.P. Heine, Anna E. Denoble |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Chorioamnionitis Sepsis Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors medicine Humans 030212 general & internal medicine Fasciitis reproductive and urinary physiology 030219 obstetrics & reproductive medicine business.industry Vaginal delivery Obstetrics Obstetrics and Gynecology medicine.disease Vaginal Birth after Cesarean Anti-Bacterial Agents Septic pelvic thrombophlebitis Logistic Models Premature birth Multivariate Analysis Pediatrics Perinatology and Child Health Premature Birth Puerperal Infection Female Endometritis business |
| Zdroj: | American Journal of Perinatology. 36:1437-1441 |
| ISSN: | 1098-8785 0735-1631 |
| DOI: | 10.1055/s-0039-1692718 |
| Popis: | Objective To estimate the incidence of and define risk factors for postpartum infectious complications after vaginal birth after cesarean (VBAC) complicated by chorioamnionitis. Study Design A secondary analysis of the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Unit Cesarean Registry was performed. The primary outcome was a composite of postpartum infection: endometritis, sepsis, pelvic abscess, urinary tract infection, necrotizing fasciitis, and septic pelvic thrombophlebitis. Peripartum predictors were compared using parametric and nonparametric tests, as appropriate, and multivariate predictors assessed using logistic regression. Results A total of 559 subjects had chorioamnionitis in labor and a successful VBAC. Twenty-four (4.3%) subjects experienced the primary outcome, mainly due to endometritis (19/24). Significant factors included preterm delivery Conclusion Nearly 5% of women with chorioamnionitis had a postpartum infectious complication after vaginal delivery, with higher rates in those delivering at |
| Databáze: | OpenAIRE |
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