Postpregnancy genital tract and wound infections

被引:30
作者
Tharpe, Nell [1 ,2 ]
机构
[1] Philadelphia Univ, Midwifery Inst, Philadelphia, PA USA
[2] Birthwise Midwifery Sch, Bridgton, ME USA
关键词
abortion; cesarean; endometritis; infection; necrotizing fasciitis; postpartum; pregnancy; wound;
D O I
10.1016/j.jmwh.2008.01.007
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Despite the widespread application of standard aseptic techniques during vaginal birth, cesarean birth, and/or termination of pregnancy, postpregnancy infections remain a significant source of maternal morbidity and mortality. Obstetric infection accounts for more than 12% of maternal deaths. Infection occurs most frequently in women who have cesarean births, and following spontaneous or elective termination of pregnancy. Infection is estimated to be the second highest cause of under-reported maternal death in the United States. This article identifies measures to aid in primary prevention and recognition of obstetric infections in order to facilitate early diagnosis and treatment.
引用
收藏
页码:236 / 246
页数:11
相关论文
共 55 条
[1]  
ADAIR FL, 1935, AM J OBSTET GYNECOL, V30, P868
[2]   Midwifery care measures in the second stage of labor and reduction of genital tract trauma at birth: A randomized trial [J].
Albers, LL ;
Sedler, KD ;
Bedrick, EJ ;
Teaf, D ;
Peralta, P .
JOURNAL OF MIDWIFERY & WOMENS HEALTH, 2005, 50 (05) :365-372
[3]   Maternal morbidity associated with cesarean delivery without labor compared with spontaneous onset of labor at term [J].
Allen, VM ;
O'Connell, CM ;
Liston, RM ;
Baskett, TF .
OBSTETRICS AND GYNECOLOGY, 2003, 102 (03) :477-482
[4]  
*AM COLL OBST GYN, 2006, 2006 COMP SEL PUBL, P348
[5]  
*AM COLL OBST GYN, 2006, COMP SEL PUBL, P694
[6]  
*AM COLL OBST GYN, 2007, COMP SEL PUBL
[7]  
American College of Nurse Midwives, 2003, STAND PRACT MIDW
[8]  
American College of Obstetricians-Gynecologists, 2006, Obstet Gynecol, V107, P957
[9]   Randomized clinical trial of extended spectrum antibiotic prophylaxis with coverage for Ureaplasma urealyticum to reduce post-cesarean delivery endometritis [J].
Andrews, WW ;
Hauth, JC ;
Cliver, SP ;
Savage, K ;
Goldenberg, RL .
OBSTETRICS AND GYNECOLOGY, 2003, 101 (06) :1183-1189
[10]  
[Anonymous], 1982, infect control