[Obstetric manipulations including amnioscopy, amniotomy, and vaginal examination and duration of labour -- impact on maternal susceptibility to infection (author's transl)].
A detailed analysis was made of 139 deliveries, which had been systematically supervised, following amnioscopy and pelvimetry, in comparison to 104 deliveries, following spontaneous onset of labour and timely rupture of the amnion. Both variants were compared for the relative risk of infection to the mothers involved. --While infection morbidity was, surprisingly, unaffected by the interval between rupture and parturition, it was found to depend strongly on the duration of labour with the amniotic sac intact. --Morbidity, also, went up clearly along with the number of previous amnioscopies and of surgical deliveries, in particular caesarean section. --Discoloration of amniotic fluid, obviously, did not stimulate germ growth nor was any detrimental effect recordable from vaginal examination. --Early artificial rupture is considered good prophylaxies not only against infection but also against asphyxia.
D005260:Female; D005332:Fetoscopy; D005334:Fever / Q000209:etiology; D006801:Humans; D007751:Labor, Induced; D007744:Obstetric Labor Complications / Q000175:diagnosis / Q000209:etiology*; D010387:Pelvimetry; D011247:Pregnancy; D011645:Puerperal Infection / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors
Beeinfussung der mütterlichen Infektmorbidität durch geburtshilfliche Manipulationen (Amnioskopie, Amniotomie, vaginale Untersuchung) und durch die Geburtsdauer.