INFECTIOUS MORBIDITY AFTER CAESAREAN SECTION – ANALYSIS OF RISK FACTORS AND STRATEGIES TO REDUCE RISK

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Dr. Reddi Rani
Dr. Sasierekha R

Abstract

Abstract

Caesarean section is the most common major obstetrical operation and is steadily increasing with increasing resultant infectious morbidity. The frequency of infectious morbidity varies from 5‐85%. Surgical site infection and endometritis are the two most common morbidities. Common risk factors are obesity, pre‐gestational or gestational diabetes, prolonged rupture of membranes and chorioamnionitis. Strict aseptic precautions, prophylactic antibiotics, perfect haemostasis reduce the risk of infectious morbidity by at least 50%. It is necessary to keep a strict audit of caesarean sections and avoid unnecessary caesarean sections. Infection surveillance is very important as most infections are diagnosed after discharge of the patient from the hospital.

Keywords: Caesarean Section, Infectious Morbidity, Surgical Site Infection

Published Sep 30, 2014

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