Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Infectious morbidity is higher after second-stage compared with first-stage cesareans

Infectious morbidity is higher after second-stage compared with first-stage cesareans Cesarean delivery is the most common major surgical procedure performed on women in the United States. In 2012, 1.3 million of the 4 million births in the United States (32.8%) were by cesarean. 1 Infectious morbidity is one of the most common complications, affecting 2-20% of cesareans, depending on the population. 2 Although some infections are superficial, a significant proportion are more severe and involve deeper abdominal wall tissue, the peritoneal cavity, or the uterus. 3 These require prolonged hospitalization, readmissions, or additional outpatient visits. The sheer numbers of these infections represent a substantial burden for individuals and the health care system. 4 Although costs vary, depending on the location, depth, and severity, the average attributable cost for each cesarean infection is estimated to be $2800-3400. 5 </P>Preoperative antibiotic prophylaxis has been established as an effective preventive measure for reducing postcesarean infections. The Cochrane review of randomized trials suggests a 60% decrease in postcesarean infections when antibiotic prophylaxis is used at cesarean delivery. 2 In addition, pooled results from five randomized trials showed a further 50% reduction in the risk of endometritis and a possibly lower rate of wound infections when antibiotics are administered prior to skin incision http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Obstetrics and Gynecology Wolters Kluwer Health

Infectious morbidity is higher after second-stage compared with first-stage cesareans

6 pages

Loading next page...
 
/lp/elsevier/infectious-morbidity-is-higher-after-second-stage-compared-with-first-XcoeE0u0C6

References

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
Wolters Kluwer Health
Copyright
Copyright © 2014 Elsevier Inc.
ISSN
0002-9378
DOI
10.1016/j.ajog.2014.03.040
pmid
24657794
Publisher site
See Article on Publisher Site

Abstract

Cesarean delivery is the most common major surgical procedure performed on women in the United States. In 2012, 1.3 million of the 4 million births in the United States (32.8%) were by cesarean. 1 Infectious morbidity is one of the most common complications, affecting 2-20% of cesareans, depending on the population. 2 Although some infections are superficial, a significant proportion are more severe and involve deeper abdominal wall tissue, the peritoneal cavity, or the uterus. 3 These require prolonged hospitalization, readmissions, or additional outpatient visits. The sheer numbers of these infections represent a substantial burden for individuals and the health care system. 4 Although costs vary, depending on the location, depth, and severity, the average attributable cost for each cesarean infection is estimated to be $2800-3400. 5 </P>Preoperative antibiotic prophylaxis has been established as an effective preventive measure for reducing postcesarean infections. The Cochrane review of randomized trials suggests a 60% decrease in postcesarean infections when antibiotic prophylaxis is used at cesarean delivery. 2 In addition, pooled results from five randomized trials showed a further 50% reduction in the risk of endometritis and a possibly lower rate of wound infections when antibiotics are administered prior to skin incision

Journal

American Journal of Obstetrics and GynecologyWolters Kluwer Health

Published: Oct 1, 2014

References