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Postpartum infection in relation to maternal characteristics, obstetric interventions and complications
Department of Obstetrics and Gynecology, Ryhov County Hospital, Jönköping, Sweden; and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Department of Obstetrics and Gynecology, and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.ORCID iD: 0000-0002-0071-4383
Department of Obstetrics and Gynecology, and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.ORCID iD: 0000-0003-4679-550X
2018 (English)In: Journal of Perinatal Medicine, ISSN 0300-5577, E-ISSN 1619-3997, Vol. 46, no 3, p. 271-278Article in journal (Refereed) Published
Abstract [en]

The purpose was to evaluate the association between maternal characteristics, obstetrical interventions/complications and postpartum wound infections (WI), urinary tract infection (UTI) and endometritis. Furthermore, this study aimed to determine the time from delivery to onset of infections after discharge from the hospital. Three large Swedish Medical Health Registers were scrutinized for the period 2005-2012. A total of 582,576 women had 795,072 deliveries. Women with diagnosis codes for WIs, UTIs or endometritis, from delivery to 8 weeks postpartum, were compared to non-infected women. Adjusted odds ratios (OR) and 95% confidence intervals (CI) were estimated. Increasing age and body mass index (BMI) were both associated with increasing prevalence of postpartum infections. WIs were most strongly associated with cesarean section (CS) (OR 17.2; 95% CI 16.1-18.3), 3rd and 4th degree tears (OR 10.7%; 95% CI 9.80-11.9) and episiotomy (OR 10.2; 95% CI 8.94-11.5). Endometritis was associated with anemia (OR 3.16; 95% CI 3.01-3.31) and manual placental removal (OR 2.72; 95% CI 2.51-2.95). UTI was associated with emergency CS (OR 3.46; 95% CI 3.07-3.89) and instrumental delivery (OR 3.70; 95% CI 3.29-4.16). For women discharged from the delivery hospital the peak occurrence of UTI was 6 days postpartum, while for WIs and endometritis it was 7 days postpartum.

Place, publisher, year, edition, pages
Walter de Gruyter, 2018. Vol. 46, no 3, p. 271-278
Keywords [en]
Anemia, cesarean, endometritis, postpartum infection, urinary tract infection, wound infection
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:oru:diva-107806DOI: 10.1515/jpm-2016-0389ISI: 000429429900006PubMedID: 28672754Scopus ID: 2-s2.0-85037642481OAI: oai:DiVA.org:oru-107806DiVA, id: diva2:1790398
Funder
Futurum - Academy for Health and Care, Jönköping County Council, SwedenAvailable from: 2023-08-22 Created: 2023-08-22 Last updated: 2024-01-02Bibliographically approved

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Brynhildsen, Jan

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