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Risk factors in puerperal infection.

A Roongpisuthipong1, P Chaisilwatana, P Bhiraleus

  • 1Department of Obstetrics & Gynaecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|April 1, 1991
PubMed
Summary

Puerperal infection, a common postpartum complication, is linked to irregular antenatal care, intercourse before birth, and pelvic exams. These factors increase the risk for mothers, highlighting the need for better prenatal monitoring and practices.

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Area of Science:

  • Obstetrics
  • Infectious Diseases
  • Maternal Health

Background:

  • Puerperal infection is a significant obstetric complication with severe sequelae.
  • Understanding risk factors is crucial for preventing maternal morbidity.

Purpose of the Study:

  • To investigate the predisposing factors of puerperal infection in postpartum women.
  • To identify key antepartum and intrapartum risk factors.

Main Methods:

  • A case study of 92 postpartum women diagnosed with puerperal infection.
  • Data collected retrospectively from April 1980 to March 1983 at Siriraj Hospital.
  • Diagnosis based on criteria from the Joint Committee on Maternal Welfare.

Main Results:

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  • Irregular or absent antenatal care, and sexual intercourse in the last week before delivery were significant antepartum risk factors.
  • Pelvic examinations during pregnancy were also identified as predisposing factors.
  • Pelvic examinations during labor (78%), operative obstetrics (30%), and concomitant diseases during pregnancy (27%) were significant intrapartum factors.

    • Conclusions:

    • Antenatal care, sexual practices, and pelvic examinations are critical factors in puerperal infection risk.
    • Intrapartum events, particularly pelvic examinations and operative interventions, play a substantial role.
    • Findings underscore the importance of optimizing prenatal care and minimizing invasive procedures during labor to reduce infection rates.