Puerperal infections after cesarean section

Abstract

Introduction. World literature search revealed a Nigerian study2 report that puerperal sepsis is a second leading cause of death accounting for 26.3% of maternal deaths, while another WHO report estimated 358,000 maternal deaths yearly occurring due to child birth problems and out of these up to 15% are associated with puerperal sepsis. Purpose. Analysis and highlighting of factors associated with the high rate of puerperal complications after cesarean section compared with vaginal births. Material and methods. It is a retrospective study on a group of 609 patients with puerperal infection who were hospitalized in Clinical Hospital nr. 1 in the Septic gynecology department during 2016-2018 years that was divided into group I (405 patients), with complications after cesarean section and group II (204 patients) - after vaginal delivery with puerperal infection. Results. The study was with extremes of 18 and 46 years respectively, the average age being 32 years. According to the results obtained, the septic-purulent complications were more frequent in the first group. Conclusions. The predisposing factors for puerperal infections are: complicated obstetrical history, inflammatory extragenital pathology, prolonged labor and the presence of hematoma after delivery.