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Intrapartum bacteriuria and postpartum endometritis.
1Department of Obstetrics and Gynecology, Creighton University College of Medicine, Omaha, Nebraska.
Obstetrics and Gynecology
|August 1, 1991
Summary
Asymptomatic bacteriuria during pregnancy, especially intrapartum bacteriuria, significantly increases the risk of postpartum endometritis in women delivering vaginally. Eradicating bacteriuria in pregnancy may reduce postpartum infections.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Maternal-Fetal Medicine
Background:
- Bacteriuria in pregnancy is a known risk factor for urinary tract infections.
- Postpartum endometritis is a common infection following childbirth.
Purpose of the Study:
- To investigate the association between antepartum and intrapartum bacteriuria and the development of postpartum endometritis in women delivering vaginally.
Main Methods:
- Retrospective analysis of data from pregnant women.
- Urine and endometrial cultures were analyzed.
- Statistical analysis to determine the association between bacteriuria and endometritis.
Main Results:
- Ten women with antepartum bacteriuria who delivered vaginally without antibiotics had four cases of postpartum endometritis.
- In three of these cases, the same Enterobacteriaceae were found in both urine and endometrial cultures.
- A 2.2% incidence of endometritis was observed in 1233 women with negative screening urine cultures.
Conclusions:
- Intrapartum bacteriuria is significantly associated with postpartum endometritis in women delivering vaginally.
- Screening for and treating asymptomatic bacteriuria during pregnancy may decrease the incidence of postpartum endometritis.