RISK FACTORS RELATED TO SEPSIS ASSOCIATED FROM CESAREAN SECTION
- VernacularTitle: КЕСАР ХАГАЛГААНЫ ДАРААХ ИДЭЭТ ҮЖИЛТ ХҮНДРЭЛ ҮҮСЭХЭД НӨЛӨӨЛӨХ ХҮЧИН ЗҮЙЛС
- Author:
Narantsatsralt D
1
;
Erkhembaatar T
;
Lkhagvasuren J
Author Information
1. First maternity hospital
- Publication Type:Journal Article
- Keywords:
Wound infection, Sepsis, Twin pregnancy, Complication
- From:Innovation
2015;9(3):36-40
- CountryMongolia
- Language:Mongolian
-
Abstract:
One of the important problems in obstetricians science is wound infection following cesarean deliveries.It occurs in 2-10%.In the obstetricians practice these disorders decline associated with the use of antibiotics but the last 10 years all countries of the world puerperal infection increases, obstetric causes sepsis purulent difficulties of 150 thousand women deaths per year. Objective: To identify risk factories for wound infection following cesarean delivery.A population – based study. To comparing women who have and have not developed a wound infection prior to discharge from First maternity hospital, Mother and Child National health Centre of Ulaanbaatar, between 2011-2013.Using a logistic regression model, the following risk factors were identified: Sepsis purulent difficulties were more likely to develop in women who have twin pregnancy (OR=4.5; 95% CI 2.4-8.6) and vaginal exam multiple times (OR=6.7; 95% CI 2.1-22). No significant differences between the 2 group who underwent cesarean delivery for indications such as induction of labor, falled induction of labor, presence of meconium – stained amniotic fluid, nonreassuring fetal heart rate patterns. Sepsis purulent difficulties (p=0.001) occurred more often in women who were older, multiple pregnancy and delivery, pre-eclampsia, emergency cesarean delivery. The risk to develop sepsis purulent difficulties following cesarean delivery is maternal age, pregnancy, recurrent abortion, gestation age, emergency cesarean delivery, premature rupture of membranes, twin pregnancy and labor complication. (p=0.001)
