title: Puerperal tetanus and hysterectomy.
abstract: OBJECTIVE
  To compare the clinical course and outcome of patients with post-partum tetanus (n = 21) to those of non-post-partum ones (n = 24) and to determine the effect of early hysterectomy on the survival of cases with severe post-partum tetanus (n = 20).
  
  
  METHODS
  In this prospective study we compared the clinical course and outcome of post-partum and non-post-partum cases of tetanus admitted to the intensive care unit. Moreover, early hysterectomy was done on every other patient with severe post-partum tetanus (n = 10). Chi-square and Student's t-tests were used for statistical purposes.
  
  
  RESULTS
  Post-partum cases were younger (P = 0.002), had a higher incidence of acute respiratory failure and a mortality rate compared to the non-post-partum group. In addition, early hysterectomy did not change the course of severe post-partum cases.
  
  
  CONCLUSIONS
  The mortality associated with post-partum tetanus is comparable to non-post-partum cases and early hysterectomy has no effect on its outcome.
authors.affiliation: Department of Internal Medicine, Medical School, Shiraz University of Medical Sciences, Iran.
authors.forename: P
authors.initials: P
authors.lastname: Khajehdehi
authors.forename: G R
authors.initials: GR
authors.lastname: Rezaian
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D011379:Prognosis; D011446:Prospective Studies; D011644:Puerperal Disorders / Q000401:mortality*; D016019:Survival Analysis; D013742:Tetanus / Q000401:mortality*; D013997:Time Factors