European journal of obstetrics, gynecology, and reproductive biology · 2006
Complications associated with caesarean delivery in a setting with high HIV prevalence rates.
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Moodliar S, Moodley J, Esterhuizen T M
Аннотация
OBJECTIVE: This study was designed to determine the prevalence of complications associated with abdominal delivery in a setting of high caesarean section (C/S) and HIV rates.
METHOD: A detailed review of the records of 737 C/S performed over a three-month period was conducted in a tertiary teaching hospital in Durban, South Africa.
RESULTS: The overall complication rate was 14.2%. Major complications included endometritis, wound sepsis, post-partum haemorrhage and bladder injury. HIV infection may have a negative impact on morbidity rates. Disimpacting the fetal head vaginally had a significant association with endometritis (p=0.021). The use of a corrugated drain did not prevent wound sepsis (p<0.001).
CONCLUSION: Complications associated with C/S are common is a setting of high C/S rates and HIV infection.
METHOD: A detailed review of the records of 737 C/S performed over a three-month period was conducted in a tertiary teaching hospital in Durban, South Africa.
RESULTS: The overall complication rate was 14.2%. Major complications included endometritis, wound sepsis, post-partum haemorrhage and bladder injury. HIV infection may have a negative impact on morbidity rates. Disimpacting the fetal head vaginally had a significant association with endometritis (p=0.021). The use of a corrugated drain did not prevent wound sepsis (p<0.001).
CONCLUSION: Complications associated with C/S are common is a setting of high C/S rates and HIV infection.