Temporal trends of postpartum infectious complications in no observational maternity hospital: a 20-year retrospective population-based cohort study
Issue 3 (2018) , INTENSIVE CARE IN INFECTIOUS COMPLICATIONS AND SEPSIS
Issue 3 (2018)
INTENSIVE CARE IN INFECTIOUS COMPLICATIONS AND SEPSIS

Temporal trends of postpartum infectious complications in no observational maternity hospital: a 20-year retrospective population-based cohort study

https://doi.org/10.21320/1818-474X-2018-3-53-58
Published 25.09.2018
Dmitry V. Marshalov
Department of Obstetrics and Gynecology, Medical Faculty, V.I. Razumovsky Saratov State Medical University, Saratov
https://orcid.org/0000-0002-8774-0700
I.A. Salov
Department of Obstetrics and Gynecology, Medical Faculty, V.I. Razumovsky Saratov State Medical University, Saratov
https://orcid.org/0000-0002-1926-5418
G.S. Suvorova
Department of Obstetrics and Gynecology, Medical Faculty, V.I. Razumovsky Saratov State Medical University, Saratov
https://orcid.org/0000-0003-1432-8333
E.M. Shifman
Department of anesthesiology and critical care medicine, The State Budgetary Healthcare Institution of Moscow Area “Moscowʼs regional research clinical institute n. a. M.F. Vladimirskiy”, Moscow
https://orcid.org/0000-0002-6113-8498
#2018-3
PDF_2018-3_53-58 (Русский)

Keywords

postpartum infectious complications
no observational maternity hospital

How to Cite

Marshalov D.V., Salov I.A., Suvorova G.S., Shifman E.M. Temporal trends of postpartum infectious complications in no observational maternity hospital: a 20-year retrospective population-based cohort study. Annals of Critical Care. 2018;(3):53–58. doi:10.21320/1818-474X-2018-3-53-58.
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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), χ2 = 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 1,53–3,78); 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.
https://doi.org/10.21320/1818-474X-2018-3-53-58
PDF_2018-3_53-58 (Русский)

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