Affiliation:
1. VI. Razumovsky Saratov State Medical University
2. The State Budgetary Healthcare Institution of Moscow Area “Moscow's regional research clinical institute n. a. M.F. Vladimirskiy”
Abstract
The aim of the study was a comparative study of the changes in the prevalence of postpartum infectious complications and their risk factors in no observational maternity hospital in the period from 1991 to 2010. A retrospective cohort study of the course of pregnancy and the outcome of labor of 24 634 patients was carried out. A multivariate statistical analysis was performed. The frequency of SSI was 0,45 % (n = 112), endometritis - 0,1 % (n = 15), peritonitis - 0,04 % (n = 12). Over the past 10 years, the incidence of postpartum infectious complications has become significantly lower - 0,42 % (2001-2010) vs. 0,72 % (1991-2000), χ<sup>2</sup> = 9,94;p < 0,001. Risk factors: manipulation in the uterine cavity - OR = 1,34 (95% CI 1,12-1,78); prolonged intestinal paresis - OR = 2,25 (95% CI 1,533,78); duration of the operation >90 minutes - OR = 1,12 (95% CI 1,06-1,64); severe anemia - OR = 1,47 (95% CI 1,15-2,02). Thus, the main risk factors for postpartum and postoperative infectious complications in patients of no observational maternity hospital the manipulation in the uterine cavity, severe anemia and prolonged intestinal paresis.
Publisher
Practical Medicine Publishing House
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