title: [Follow-up and wound healing following cesarean section with prophylactic use of Vagimid in comparison with the puerperal course without the use of Vagimid].
abstract: The effect of postoperative metronidazole prophylaxis was investigated on infection morbidity in childbed. 376 women who have been delivered by caesarean section in the time of three years were divided into the metronidazole group (172) and the control (204) by random selection. In the metronidazole group (n = 36; 21.0%) significantly less cases of febrile course of puerperium were observed than in the control (n = 85; 41.7%). Patients with secondary sections revealed a significant reduction of infection morbidity. The consequences of the risk factors "increased duration (greater than 8 h) of the rupture of the membranes" and "a more than 8 h duration of labor" could be diminished. A metronidazole prophylaxis is recommended in all cases of secondary sections beginning immediately after cutting the umbilical cord.
authors.affiliation: Klinik für Gynäkologie und Geburtshilfe, Medizinischen Akademie Magdeburg.
authors.forename: H
authors.initials: H
authors.lastname: Sokolowski
authors.forename: E
authors.initials: E
authors.lastname: Canzler
authors.forename: C
authors.initials: C
authors.lastname: Brötzmann
mesh_terms: D002585:Cesarean Section; D002986:Clinical Trials as Topic; D005260:Female; D006801:Humans; D008795:Metronidazole / Q000008:administration & dosage*; D011247:Pregnancy; D011446:Prospective Studies; D011645:Puerperal Infection / Q000517:prevention & control*; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000517:prevention & control*
chemical_list: D008795:Metronidazole
vernacular_title: Verlauf und Wundheilung nach Sectio caesarea bei Prophylaxe mit Vagimid gegenüber dem Wochenbettverlauf ohne Vagimidprophylaxe.