Clinical characteristics and management in women with postpartum infection

Abstract

Background: Postpartum infection affects women’s health and psychology. Objectives: To study the clinical and paraclinical characteristics of postpartum infection patterns and evaluate the management attitude in cases of postpartum infection. Methods and Materials: Women who were in the postpartum period, diagnosed with postpartum infection and treated at the Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy Hospital from 06/2021 to 01/2023. Results: There were 40 cases of postpartum infection, accounting for 87.5%. Endometritis is the most common type, accounting for 87.5%. Common clinical symptoms: 80.0% have abnormal secretions, 67.5% have abdominal pain, 50.0% have poor uterine contractility. Regarding subclinical, 55.0% of cases had elevated white blood cell count ≥ 10 x 109/l, mean CRP value was 33.02 ± 33.29 (mg/l) and 65.0% had remained organization within the uterus. About treatment: 100% of cases of antibiotic treatment according to the regimen, no cases need surgical treatment. 100% of cases had good treatment results with an average hospital stay of 7.5 ± 1.3 days. Conclusion: Endometritis is the most common form. Risk factors for postpartum infection: Caesarean section, rupture of membranes ≥ 6 hours, prolonged labor. Management attitude in postpartum infections is appropriate Key words: postpartum infection, endometritis, vaginal delivery, cesarean delivery