10/30/2022 0 Comments Akila subramaniam![]() The patient characteristics and outcomes were compared between the groups using appropriate tests. The primary outcome was a composite of maternal infectious morbidity up to 6 weeks after delivery, defined as (1) endometritis, (2) perineal wound morbidity (infection, breakdown, or dehiscence), or (3) culture-proven urinary tract infection. The patients were categorized by the mode of delivery: spontaneous vaginal delivery or operative vaginal delivery (forceps or vacuum-assisted). This was a retrospective cohort study of patients with viable singleton vaginal deliveries after ≥34 weeks gestation at a single perinatal center (2013-2018). This study aimed to evaluate whether operative vaginal delivery is an independent risk factor for composite maternal postpartum infectious morbidity in a population with a low episiotomy rate. However, 89% of their study population received an episiotomy. ![]() 3 Center for Women's Reproductive Health, The University of Alabama at Birmingham, Birmingham, AL (Drs Dunk, Owen, and Lu, Mr Kim, and Drs Szychowski and Subramaniam) Departments of Obstetrics and Gynecology (Drs Dunk, Owen, and Lu, Mr Kim, and Drs Szychowski and Subramaniam) Biostatistics, The University of Alabama at Birmingham, Birmingham, AL (Dr Szychowski).Ī recent study from the United Kingdom suggested that a single dosage of adjunctive amoxicillin/clavulanic acid with operative vaginal delivery reduces maternal infectious morbidity by 40% (from 19% to 11%). ![]() Electronic address: 2 Center for Women's Reproductive Health, The University of Alabama at Birmingham, Birmingham, AL (Drs Dunk, Owen, and Lu, Mr Kim, and Drs Szychowski and Subramaniam) Departments of Obstetrics and Gynecology (Drs Dunk, Owen, and Lu, Mr Kim, and Drs Szychowski and Subramaniam). ![]()
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