ArticleInfection control and hospital epidemiology2010
Risk factors for endometritis after low transverse cesarean delivery.
Article in Infection control and hospital epidemiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Routes of administration of antibiotic prophylaxis for preventing infection after caesarean section.The Cochrane database of systematic reviews · 2016Pooled it
- Intrauterine cleaning after placental delivery at cesarean section: a randomized controlled trial.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2019Trial
- Comparison of Metronidazole Gel and Povidone‑Iodine for Vaginal Preparation in Preventing Post‑Cesarean Infection‑Related Morbidity: A Three‑Group Randomized Controlled Trial.Health science reports · 2026Article
- Wounds to Wisdom: Exploring Risk Factors and Outcomes for Surgically Managed Postcesarean Wound Infections.AJP reports · 2026Article
- Hunting for Answers: AssessingPathogens (Basel, Switzerland) · 2024Article
- Article
- Evaluation of independent risk factors associated with surgical site infections from caesarean section.Archives of gynecology and obstetrics · 2023Article
- Impact of Intraoperative Factors on the Development of Postpartum Septic Complications.Medicina (Kaunas, Lithuania) · 2023Article
- Bacterial Vaginosis and Post-Operative Pelvic Infections.Healthcare (Basel, Switzerland) · 2023Review
- Peripartum infectious morbidity in women with preeclampsia.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2021Article
- Incidence of surgical site infection following caesarean section: a systematic review and meta-analysis protocol.BMJ open · 2017Article
- Maternal age and risk of labor and delivery complications.Maternal and child health journal · 2015Article
- Patterns of obstetric infection rates in a large sample of US hospitals.American journal of obstetrics and gynecology · 2013Article
- Comparison of costs of surgical site infection and endometritis after cesarean delivery using claims and medical record data.Infection control and hospital epidemiology · 2010Article
- Attributable costs of surgical site infection and endometritis after low transverse cesarean delivery.Infection control and hospital epidemiology · 2010Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo determine independent risk factors for endometritis after low transverse cesarean delivery. STUDY
designWe performed a retrospective case-control study during the period from July 1999 through June 2001 in a large tertiary care academic hospital. Endometritis was defined as fever beginning more than 24 hours or continuing for at least 24 hours after delivery plus fundal tenderness in the absence of other causes for fever. Independent risk factors for endometritis were determined by means of multivariable logistic regression. A fractional polynomial method was used to examine risk of endometritis associated with the continuous variable, duration of rupture of membranes.
resultsEndometritis was identified in 124 (7.7%) of 1,605 women within 30 days after low transverse cesarean delivery. Independent risk factors for endometritis included age (odds ratio [OR] for each additional year, 0.93 [corrected] [95% confidence interval {CI}, 0.90-0.97]) and anemia or perioperative blood transfusion (OR, 2.18 [CI, 1.30-3.68]). Risk of endometritis was marginally associated with a proxy for low socioeconomic status, lack of private health insurance (OR, 1.72 [CI, 0.99-3.00]); with amniotomy (OR, 1.69 [CI, 0.97-2.95]); and with longer duration of rupture of membranes.
conclusionRisk of endometritis was independently associated with younger age and anemia and was marginally associated with lack of private health insurance and amniotomy. The odds of endometritis increased approximately 1.7-fold within 1 hour after rupture of membranes, but increased duration of rupture was only marginally associated with increased risk. Knowledge of these risk factors can guide selective use of prophylactic antibiotics during labor and heighten awareness of the risk in subgroups at highest risk of infection.
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