Infectious morbidity after cesarean delivery: 10 strategies to reduce risk

Puerperal infection remains a major cause of maternal morbidity and mortality. The primary risk factor is cesarean delivery, which increases the risk 5- to 20-fold. This article reviews in detail the risk of puerperal infection following cesarean delivery, both endometritis and surgical site infection, in both high- and low-risk populations. Strategies to prevent such infections are also discussed using a systematic evidence-based approach.

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