Operative vaginal delivery and post-partum infection.
Fever
Infection
Operative vaginal delivery
Post-partum
Pregnancy
Sepsis
Journal
Best practice & research. Clinical obstetrics & gynaecology
ISSN: 1532-1932
Titre abrégé: Best Pract Res Clin Obstet Gynaecol
Pays: Netherlands
ID NLM: 101121582
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
14
06
2018
revised:
17
09
2018
accepted:
23
09
2018
entrez:
18
4
2019
pubmed:
18
4
2019
medline:
8
8
2019
Statut:
ppublish
Résumé
During the past decade, there has been an increase in the awareness of infections associated with pregnancy and delivery. The most significant cause of post-partum infection is caesarean section; 20-25% of operations are followed by wound infections, endometritis or urinary tract infections. Approximately 13% of women in the UK undergo operative vaginal delivery (OVD) with forceps or vacuum, which is also associated with an increased risk of infection, estimated at 0.7%-16% of these deliveries. Despite this, previous reviews have identified only one small trial of antibiotic prophylaxis in 393 women and concluded that there was insufficient evidence to support the routine use of prophylactic antibiotics after OVD. The ANODE trial, a multicentre, blinded, placebo-controlled trial from the UK, is due to report findings from more than 3400 women in 2019 and will be the largest study to date of antibiotic prophylaxis following OVD.
Identifiants
pubmed: 30992125
pii: S1521-6934(18)30212-8
doi: 10.1016/j.bpobgyn.2018.09.005
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
93-106Subventions
Organisme : Department of Health
ID : HTA/13/96/07
Pays : United Kingdom
Informations de copyright
Copyright © 2018. Published by Elsevier Ltd.