Puerperal Infection

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Temmerman Marleen - One of the best experts on this subject based on the ideXlab platform.

  • Effect of Puerperal Infections on Early Neonatal Mortality: A Secondary Analysis of Six Demographic and Health Surveys
    Public Library of Science, 2017
    Co-Authors: Bellizzi Saverio, Bassat Quique, Ali Mohamed M., Sobel Howard L., Temmerman Marleen
    Abstract:

    Around 1.5 million annual neonatal deaths occur in the first week of life, and Infections represent one of the major causes in developing countries. Neonatal sepsis is often strictly connected to Infection of the maternal genital tract during labour.The association between signs suggestive of Puerperal Infection and early neonatal mortality (

  • Effect of Puerperal Infections on Early Neonatal Mortality: A Secondary Analysis of Six Demographic and Health Surveys
    eCommons@AKU, 2017
    Co-Authors: Bellizzi Saverio, Bassat Quique, Ali Mohamed M., Sobel Howard L., Temmerman Marleen
    Abstract:

    Background: Around 1.5 million annual neonatal deaths occur in the first week of life, and Infections represent one of the major causes in developing countries. Neonatal sepsis is often strictly connected to Infection of the maternal genital tract during labour. Methods: The association between signs suggestive of Puerperal Infection and early neonatal mortality (life) was performed using Demographic and Health Surveys (DHS) data of six countries, conducted between 2010 and 2013. The population attributable fraction (PAF) was generated using the estimates on early neonatal mortality of a 1990-2013 systematic analysis for the Global Burden of Disease Study. Results: Signs of Puerperal Infection ranged from 0.7% in the Philippines to 16.4% in Honduras. Infection was associated with a 2.1 adjusted Risk Ratio (95% CI: 1.4-3.2) of early neonatal mortality. Around five percent of all deaths in the first week of life were attributable to signs suggestive of Puerperal Infections and varied from 13.9% (95% CI: 1.0-26.6) in Honduras to 3.6% (95% CI: 1.0-8.5) in Indonesia. Conclusions: Targeted interventions should be addressed to contain the burden of Puerperal Infections on early neonatal mortality. Consideration of the PAF will help in the discussion of the benefits of antenatal and perinatal measures

  • Does place and attendance at birth improve early neonatal mortality? Secondary analysis of nine Demographic and Health Surveys
    'Wiley', 2017
    Co-Authors: Bellizzi S., Sobel Howard L., Mathai M., Temmerman Marleen
    Abstract:

    Objectives: To determine the relation between place and skilled birth attendance at birth and early neonatal mortality. Design: Retrospective analysis using data from Demographic and Health Surveys on obstetric complications. Setting: Nine low and middle income countries between 2006 and 2013. Population: 71 758 women aged 15–49 years. Methods: A secondary analysis was carried out to investigate the occurrence and effect of obstetric complications on early neonatal mortality and association with place and attendance at birth. Obstetric complications studied were prolonged labour, Puerperal Infection and eclampsia. Main outcome measures: Association between early neonatal mortality and place and attendance at birth, unadjusted and adjusted for presence of severe obstetric complications. Results: Thirty-five percent of all births were at home: 70% of these were without skilled attendants. Obstetric complications were reported in 17 079 women: 82% of these women gave birth in health facilities. Overall, no association was observed between place of birth or attendance at birth and early neonatal mortality. When adjusted for obstetric complications, the odds of early neonatal deaths for births at home without a skilled attendant were 1.3 (95% CI 1.1–1.5) compared with 1.2 (95% CI 1.0–1.5) with a skilled attendant and births in health facilities. Conclusions: When adjusted for obstetric complications, births in health facilities were associated with reduced early neonatal mortality. However, reporting and referral bias account for at least part of the association

  • Does place and attendance at birth improve early neonatal mortality? Secondary analysis of nine Demographic and Health Surveys
    eCommons@AKU, 2017
    Co-Authors: Bellizzi S., Mathai M., Hl Sobel, Temmerman Marleen
    Abstract:

    Objectives: To determine the relation between place and skilled birth attendance at birth and early neonatal mortality. Design: Retrospective analysis using data from Demographic and Health Surveys on obstetric complications. Setting: Nine low and middle income countries between 2006 and 2013. Population: 71 758 women aged 15–49 years. Methods: A secondary analysis was carried out to investigate the occurrence and effect of obstetric complications on early neonatal mortality and association with place and attendance at birth. Obstetric complications studied were prolonged labour, Puerperal Infection and eclampsia. Main outcome measures: Association between early neonatal mortality and place and attendance at birth, unadjusted and adjusted for presence of severe obstetric complications. Results: Thirty‐five percent of all births were at home: 70% of these were without skilled attendamts. Obstetric complications were reported in 17 079 women: 82% of these women gave birth in health facilities. Overall, no association was observed between place of birth or attendance at birth and early neonatal mortality. When adjusted for obstetric complications, the odds of early neonatal deaths for births at home without a skilled attendant were 1.3 (95% CI 1.1–1.5) compared with 1.2 (95% CI 1.0–1.5) with a skilled attendant and births in health facilities. Conclusions: When adjusted for obstetric complications, births in health facilities were associated with reduced early neonatal mortality. However, reporting and referral bias account for at least part of the association. Tweetable abstract: Births in health facilities are linked with fewer early newborn deaths when adjusted for obstetric complications

Thomas J Musci - One of the best experts on this subject based on the ideXlab platform.

  • meconium stained amniotic fluid is associated with Puerperal Infections
    American Journal of Obstetrics and Gynecology, 2003
    Co-Authors: Susan H Tran, Aaron B Caughey, Thomas J Musci
    Abstract:

    Abstract Objective The purpose of this study was to determine whether meconium-stained amniotic fluid is associated with Puerperal Infection and whether the quality of the meconium is further associated with this risk. Study design We designed a retrospective cohort study of all deliveries beyond 37 weeks gestational age from 1992 to 2002 at a single community hospital. Data were collected on rates of chorioamnionitis, endomyometritis, quality of amniotic fluid, and length of labor and analyzed with bivariate and multivariate analyses. Results We found that, among the 43,200 women who were delivered at term, 18.9% of the women had meconium staining (8.8% thin, 5.5% moderate, 4.6% thick). Compared with deliveries with clear amniotic fluid, those with meconium-stained amniotic fluid had higher rates of chorioamnionitis (2.3% vs 4.1%, P P Conclusion We found that the presence and severity of meconium-stained amniotic fluid is associated with Puerperal Infection even when being controlled for confounders.

Susan H Tran - One of the best experts on this subject based on the ideXlab platform.

  • meconium stained amniotic fluid is associated with Puerperal Infections
    American Journal of Obstetrics and Gynecology, 2003
    Co-Authors: Susan H Tran, Aaron B Caughey, Thomas J Musci
    Abstract:

    Abstract Objective The purpose of this study was to determine whether meconium-stained amniotic fluid is associated with Puerperal Infection and whether the quality of the meconium is further associated with this risk. Study design We designed a retrospective cohort study of all deliveries beyond 37 weeks gestational age from 1992 to 2002 at a single community hospital. Data were collected on rates of chorioamnionitis, endomyometritis, quality of amniotic fluid, and length of labor and analyzed with bivariate and multivariate analyses. Results We found that, among the 43,200 women who were delivered at term, 18.9% of the women had meconium staining (8.8% thin, 5.5% moderate, 4.6% thick). Compared with deliveries with clear amniotic fluid, those with meconium-stained amniotic fluid had higher rates of chorioamnionitis (2.3% vs 4.1%, P P Conclusion We found that the presence and severity of meconium-stained amniotic fluid is associated with Puerperal Infection even when being controlled for confounders.

Sobel Howard L. - One of the best experts on this subject based on the ideXlab platform.

  • Effect of Puerperal Infections on Early Neonatal Mortality: A Secondary Analysis of Six Demographic and Health Surveys
    Public Library of Science, 2017
    Co-Authors: Bellizzi Saverio, Bassat Quique, Ali Mohamed M., Sobel Howard L., Temmerman Marleen
    Abstract:

    Around 1.5 million annual neonatal deaths occur in the first week of life, and Infections represent one of the major causes in developing countries. Neonatal sepsis is often strictly connected to Infection of the maternal genital tract during labour.The association between signs suggestive of Puerperal Infection and early neonatal mortality (

  • Effect of Puerperal Infections on Early Neonatal Mortality: A Secondary Analysis of Six Demographic and Health Surveys
    'Public Library of Science (PLoS)', 2017
    Co-Authors: Bellizzi Saverio, Bassat Quique, Ali Mohamed M., Sobel Howard L., Temmerman Marieen
    Abstract:

    BACKGROUND: Around 1.5 million annual neonatal deaths occur in the first week of life, and Infections represent one of the major causes in developing countries. Neonatal sepsis is often strictly connected to Infection of the maternal genital tract during labour. METHODS: The association between signs suggestive of Puerperal Infection and early neonatal mortality (

  • Effect of Puerperal Infections on Early Neonatal Mortality: A Secondary Analysis of Six Demographic and Health Surveys
    eCommons@AKU, 2017
    Co-Authors: Bellizzi Saverio, Bassat Quique, Ali Mohamed M., Sobel Howard L., Temmerman Marleen
    Abstract:

    Background: Around 1.5 million annual neonatal deaths occur in the first week of life, and Infections represent one of the major causes in developing countries. Neonatal sepsis is often strictly connected to Infection of the maternal genital tract during labour. Methods: The association between signs suggestive of Puerperal Infection and early neonatal mortality (life) was performed using Demographic and Health Surveys (DHS) data of six countries, conducted between 2010 and 2013. The population attributable fraction (PAF) was generated using the estimates on early neonatal mortality of a 1990-2013 systematic analysis for the Global Burden of Disease Study. Results: Signs of Puerperal Infection ranged from 0.7% in the Philippines to 16.4% in Honduras. Infection was associated with a 2.1 adjusted Risk Ratio (95% CI: 1.4-3.2) of early neonatal mortality. Around five percent of all deaths in the first week of life were attributable to signs suggestive of Puerperal Infections and varied from 13.9% (95% CI: 1.0-26.6) in Honduras to 3.6% (95% CI: 1.0-8.5) in Indonesia. Conclusions: Targeted interventions should be addressed to contain the burden of Puerperal Infections on early neonatal mortality. Consideration of the PAF will help in the discussion of the benefits of antenatal and perinatal measures

  • Does place and attendance at birth improve early neonatal mortality? Secondary analysis of nine Demographic and Health Surveys
    'Wiley', 2017
    Co-Authors: Bellizzi S., Sobel Howard L., Mathai M., Temmerman Marleen
    Abstract:

    Objectives: To determine the relation between place and skilled birth attendance at birth and early neonatal mortality. Design: Retrospective analysis using data from Demographic and Health Surveys on obstetric complications. Setting: Nine low and middle income countries between 2006 and 2013. Population: 71 758 women aged 15–49 years. Methods: A secondary analysis was carried out to investigate the occurrence and effect of obstetric complications on early neonatal mortality and association with place and attendance at birth. Obstetric complications studied were prolonged labour, Puerperal Infection and eclampsia. Main outcome measures: Association between early neonatal mortality and place and attendance at birth, unadjusted and adjusted for presence of severe obstetric complications. Results: Thirty-five percent of all births were at home: 70% of these were without skilled attendants. Obstetric complications were reported in 17 079 women: 82% of these women gave birth in health facilities. Overall, no association was observed between place of birth or attendance at birth and early neonatal mortality. When adjusted for obstetric complications, the odds of early neonatal deaths for births at home without a skilled attendant were 1.3 (95% CI 1.1–1.5) compared with 1.2 (95% CI 1.0–1.5) with a skilled attendant and births in health facilities. Conclusions: When adjusted for obstetric complications, births in health facilities were associated with reduced early neonatal mortality. However, reporting and referral bias account for at least part of the association

Aaron B Caughey - One of the best experts on this subject based on the ideXlab platform.

  • meconium stained amniotic fluid is associated with Puerperal Infections
    American Journal of Obstetrics and Gynecology, 2003
    Co-Authors: Susan H Tran, Aaron B Caughey, Thomas J Musci
    Abstract:

    Abstract Objective The purpose of this study was to determine whether meconium-stained amniotic fluid is associated with Puerperal Infection and whether the quality of the meconium is further associated with this risk. Study design We designed a retrospective cohort study of all deliveries beyond 37 weeks gestational age from 1992 to 2002 at a single community hospital. Data were collected on rates of chorioamnionitis, endomyometritis, quality of amniotic fluid, and length of labor and analyzed with bivariate and multivariate analyses. Results We found that, among the 43,200 women who were delivered at term, 18.9% of the women had meconium staining (8.8% thin, 5.5% moderate, 4.6% thick). Compared with deliveries with clear amniotic fluid, those with meconium-stained amniotic fluid had higher rates of chorioamnionitis (2.3% vs 4.1%, P P Conclusion We found that the presence and severity of meconium-stained amniotic fluid is associated with Puerperal Infection even when being controlled for confounders.