title: Effect of amnioinfusion on the incidence of postpartum endometritis in patients undergoing cesarean delivery.
abstract: We reviewed records from 251 consecutive cesarean deliveries performed over a six-month period to evaluate the effect of amnioinfusion during labor on the incidence of postpartum endometritis in patients who delivered by cesarean section. One hundred fifty-four patients were excluded because they were not in labor, were at less than 35 weeks' gestation or received antibiotics during labor. Twenty-three of the remaining 97 patients received amnioinfusion during labor and represented the study group. Seventy-four patients did not receive amnioinfusion during labor and were used as controls. The incidence of postpartum endometritis in the amnioinfusion group was 13%, while the incidence in the group not receiving amnioinfusion was 38% (relative risk, 0.34; 95% confidence interval, 0.13-0.88; P = .026). Amnioinfusion during labor appears to significantly decrease the incidence of postpartum endometritis in patients subsequently undergoing cesarean delivery.
authors.affiliation: Department of Obstetrics and Gynecology, Loyola Stritch School of Medicine, Maywood, IL 60153, USA.
authors.forename: M D
authors.initials: MD
authors.lastname: Moen
authors.forename: R E
authors.initials: RE
authors.lastname: Besinger
authors.forename: P G
authors.initials: PG
authors.lastname: Tomich
authors.forename: S G
authors.initials: SG
authors.lastname: Fisher
mesh_terms: D000328:Adult; D000650:Amnion; D000653:Amniotic Fluid / Q000737:chemistry; D002585:Cesarean Section; D004716:Endometritis / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D005316:Fetal Distress / Q000628:therapy*; D006801:Humans; D015994:Incidence; D007260:Infusion Pumps; D007552:Isotonic Solutions; D008470:Meconium; D007744:Obstetric Labor Complications / Q000628:therapy*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000453:epidemiology* / Q000517:prevention & control; D012189:Retrospective Studies; D012965:Sodium Chloride / Q000008:administration & dosage*
chemical_list: D007552:Isotonic Solutions; D012965:Sodium Chloride