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Febrile morbidity and hospital stay in high risk caesarian section patients at a non-teaching hospital
Persad, Suresh.
Afiliação
  • Persad, Suresh; Candler General Hospital, Savannah, Ga, USA
West Indian med. j ; 47(suppl. 3): 44, July 1998.
Artigo em Inglês | MedCarib | ID: med-1684
Biblioteca responsável: JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
This was a retrospective chart review of all patients who had Caesarian section between January 1995 and December 1996. The objective was to determine the incidence of post operative febrile morbidity, and to relate this to hospital stay in a high risk indigent population treated at a private non-teaching hospital. Discharge summaries, antepartum progress notes and laboratory results were reviewed for each patient. 5 of 257 charts reviewed were inadequate. All but 5 patients had labour after ruptured membranes of 12 hours of more. Four had a prolonged second stage. Board certified surgeons performed a nd assisted in the operations. 21 patients had scant prenatal care and 6 had no prenatal care. In all cases the abdomen was scrubbed with "Betadine" soap prior to painting. No shaving was done. Gloves were changed after closure of the uterine incision. The pelvis was copiously irrigated with 3-4 litres of saline. The subcutaneous layer was irrigated from a height of 1" to 12" with 0.5 to 1 litre of fluid. After this step, this layer was not touched by any thing from the operating field. Of 162 patients with primary Caesarian sections, 20 (12.3 percent) had post operative fever, 18 due to endometritis and 2 due to wound infections. Two of 28 failed VBACs had fever whereas none of 59 patients with elective repeat Caesarian sections became febrile. The mean hospital stay was 4.4 days for febrile patients and 2.7 days for afebrile patients. The incidence of fever in the entire study group of 249 was 8.8 percent, and the incidence of wound infections was 0.8 percent. This study demonstrates that the adoption of the simple measures described above can dramatically decrease the incidence and severity of post Caesarian fever and wound infection, thereby allowing safe, early hospital discharge.(AU)
Assuntos
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Coleções: Bases de dados internacionais Base de dados: MedCarib Assunto principal: Cesárea / Morbidade / Febre Tipo de estudo: Estudo de etiologia / Fatores de risco Limite: Feminino / Humanos / Gravidez Idioma: Inglês Revista: West Indian med. j Ano de publicação: 1998 Tipo de documento: Artigo
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Coleções: Bases de dados internacionais Base de dados: MedCarib Assunto principal: Cesárea / Morbidade / Febre Tipo de estudo: Estudo de etiologia / Fatores de risco Limite: Feminino / Humanos / Gravidez Idioma: Inglês Revista: West Indian med. j Ano de publicação: 1998 Tipo de documento: Artigo
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