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Intra-abdominal infection (IAI) following cesarean section: a retrospective study in a tertiary referral hospital in

Ahmed R Abdelraheim1, Khaled Gomaa2, Emad M Ibrahim2

  • 1Department of Obstetrics &Gynecology, Minia Maternity & Children University Hospital, Faculty of Medicine, Minia University, Minia, Egypt. arabdelraheim@yahoo.com.

BMC Pregnancy and Childbirth
|July 10, 2019
PubMed

Insights

Post-cesarean intra-abdominal infection (IAI) occurred in 2.87% of cases. Key risk factors included chorioamnionitis and premature rupture of membranes, highlighting areas for improved prevention strategies.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Disease Epidemiology
  • Surgical Site Infections

Background:

  • Post-cesarean intra-abdominal infection (IAI) is a significant complication.
  • Understanding its incidence and risk factors is crucial for patient outcomes.

Purpose of the Study:

  • To determine the incidence of IAI following cesarean section (CS).
  • To identify independent risk factors associated with IAI in a tertiary care setting.

Main Methods:

  • Retrospective study of 408 IAI cases and 1300 controls who underwent CS between 2014-2017.
  • Bivariate analysis and multivariate logistic regression were employed to identify risk factors.

Main Results:

  • The incidence of IAI post-CS was 2.87%, with a 1.2% mortality rate.
  • Chorioamnionitis (AOR 9.54) and premature rupture of membranes (PROM) (AOR 7.54) were the strongest predictors.
  • Other significant risk factors included prolonged CS duration, lack of antenatal care, significant blood loss, emergency CS, prolonged labor, and diabetes mellitus.

Conclusions:

  • The incidence of IAI post-CS in this Egyptian tertiary hospital was 2.87%.
  • Identifying and addressing these risk factors is essential for developing effective preventive measures against IAI.
Abstract

Keywords:
Cesarean sectionIntra-abdominal infectionPredictorsRisk factors

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