To estimate the incidence, etiology and risk factors of wound infections in women who undergoes cesarean section at Kilpauk Medical College Hospital: a prospective study
Keywords:Ceasarean section, Surgery, Wound infection
Background: Wound infections following caesarean section (or) gynaecologic surgery is a common complication that accounts for significant extension of hospital stays.
Methods: This is a prospective analytical study, conducted in the department of obstetrics and gynaecology, kilpauk medical college, Chennai from Januray 2013 to November 2013. All cases who underwent ceaserean section were included in the study. Analysis was done in the form of percentages and proportions and represented as tables where necessary.
Results: A total of 700 cases were analysed. The incidence of wound infections after caesarean section in this study was 8.14%. Study confirms that risk factors like anemia, chorioamnionitis; PROM, obstructed labour, preeclampsia, increased surgical time, increase BMI poses risk for wound complications. Whereas chorioamnionitis (66%) and obstructed labour (66%) showed increased risk for wound complications.
Conclusions: Correcting malnutrion, anemia, stabilizing diabetes and eradicating all infection such as urinary tract infection, proper preparation of skin, proper surgeons scrubbing and using proper surgical technique can decrease the risk of postoperative wound infection.
Sweet RL, Gibbs RS. Wound and Episiotomy infection. In: Sweet RL, Gibbs RS et al. Infections diseases of the female genital tract, 3rd ed. Baltimore:Williams Wilkins,1995.
Cunningham FG, Hauth JC, Leveno KJ, Gilstrapet L, Bloom SL, Wenstrom KD. Puerperal infection. Chapter 31, Williams Obstertics, 22th ed. USA. Appleton and Lange;2005:716.
Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection. Infect Control Hosp Epidemiol. 1999;247-78.
Tran TS, Jamulitrat S, Chongsuvivatwong V, Geater A. Risk factors for post cesarean surgical site infection. Obstet Gynecol. 2000;95(3):367-71.
Roberts S, Maccato M, Faro S, Pinell P. The microbiology of post caesarean wound morbidity. Obstet Gynecol. 1993;81:383-6.
Mahale AR. Caesarean section morbiditiy- a study of 1775 cases of abdominal wounds. Obsanb Gyanec. Today. 2008;8:329-31.
Takoudes TC, Weitzen S, Slocum J, Malee M. Risk of caesarean wound complications in diabetic gestations. Am J Obstet Gynecol. 2004;191(3):958-63.