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Table of Contents
Vol. 38, No. 3, 1994
Issue release date: 1994
Section title: Original Paper
Gynecol Obstet Invest 1994;38:198–205
(DOI:10.1159/000292479)

Risk Factors in Puerperal Endometritis-Myometritis

An Incident Case-Referent Study

Libombo A.a · Folgosa E.b · Bergström S.a,c,d
aDepartment of Obstetrics and Gynecology, Central Hospital Maputo, and bDepartment of Microbiology, Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique; cDepartment of Obstetrics and Gynaecology, University Hospital, Uppsala, Sweden; dDepartment of Obstetrics and Gynaecology, Ullevål Hospital, Oslo, Norway

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 14, 1994
Accepted: January 24, 1994
Published online: March 01, 2010
Issue release date: 1994

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 0

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI

Abstract

Postpartum endometritis-myometritis (PPEM) was identified in 51 women after vaginal delivery, who were compared with 51 healthy referent parturients, matched for age, parity and days postpartum. Socio-economic background data, past and current obstetric history and clinical data from recent delivery were analyzed. Endocervical and intracavitary cultures and blood cultures were performed and serological analyses of syphilis and HIV antibodies were carried out. No socio-economic factor studied discriminated significantly between cases and referents. Previous stillbirth (OR 9.44) and previous low-birth weight delivery (OR 3.90) occurred significantly more often among cases. In recently past pregnancy preterm delivery (OR 10.07), low birthweight (OR 16.55) and serious neonatal morbidity (OR 14.27) were significantly more common among cases. Cases and referents differed also significantly in body mass index < 22.5 (OR 3.41), left mid-upper-arm circumference < 25 cm (OR 2.66), haemoglobin < 100 g/l (OR 3.12) and high-risk classification in antenatal care (OR 11.95). Bacterial intracavitary cultures tended to be positive and have anaerobes more frequently in cases than in referents. It is concluded that women with PPEM in the setting studied belong to a group at risk also regarding adverse fetal outcome, both in recently past and in previous pregnancies.

© 1994 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 14, 1994
Accepted: January 24, 1994
Published online: March 01, 2010
Issue release date: 1994

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 0

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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