Obesity as an independent risk factor for infectious morbidity in patients who undergo cesarean delivery

Myles, Thomas D.; Gooch, Jason; Santolaya, Joaquín

doi:10.1016/s0029-7844(02)02323-2

Cited by 179 publications

(67 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We did not find an increased frequency in other previously reported adverse outcomes in OB and OW women [3,4,5,6,7,23,24,25]. …”

Section: Discussioncontrasting

confidence: 95%

“…This higher rate in our study is likely to be at least partially influenced by in-house obstetric practice, with a high incidence of elective cesarean section, but we neither found between-group differences in emergency cesarean nor in labor or puerperium complications. This observation is at variance with previous reports [3,24,25] describing a greater risk for the use of forceps, shoulder dystocia, early neonatal death, endometritis and wound infection in OB women [3,4,23,24,25]. This difference can be best explained by our lower incidence of LGA newborns, the high rate of cesarean deliveries and the routine use of prophylactic antibiotics.…”

Section: Discussioncontrasting

confidence: 82%

See 1 more Smart Citation

Early Intensive Obstetric and Medical Nutrition Care Is Associated with Decreased Prepregnancy Obesity Impact on Perinatal Outcomes

Reyes

Martinez

Parra

et al. 2011

Gynecol Obstet Invest

View full text Add to dashboard Cite

Background/Aims: To compare the gestational weight gain and adverse perinatal outcomes in urban Mexican women with prepregnancy overweight or obesity, under an early intensive obstetric and nutrition program versus women with prepregnancy normal weight. Methods: A cohort of 546 pregnant women with prepregnancy normal weight (n = 201, NW), overweight (n = 171, OW) or obesity (n = 174, OB), ≤13 weeks of gestation and a singleton pregnancy. OW and OB groups were under early intensive obstetric and nutritional care and NW group was under routine prenatal care. Miscarriage, hypertensive disorders, premature rupture of membranes, preterm birth, stillbirth, gestational diabetes mellitus (GDM) and large- or small-for-gestational-age newborns, were compared between groups. Results: Weight gain was smaller in OB than in OW or NW (mean ± SD): 6.1 ± 4.4, 9.5 ± 5.1, 10.3 ± 5.4 kg, respectively (p < 0.001). OB women had the highest frequency of GDM (p < 0.001), lack of spontaneous labor (p < 0.001) and preeclampsia (p < 0.001), but no other between-group differences existed. Conclusion: Early intensive medical-nutrition prenatal care and adequate gestational weight gain may contribute to decreasing most maternal and newborn adverse outcomes associated with prepregnancy overweight or obesity.

show abstract

“…We did not find an increased frequency in other previously reported adverse outcomes in OB and OW women [3,4,5,6,7,23,24,25]. …”

Section: Discussioncontrasting

confidence: 95%

Section: Discussioncontrasting

confidence: 82%

Early Intensive Obstetric and Medical Nutrition Care Is Associated with Decreased Prepregnancy Obesity Impact on Perinatal Outcomes

Reyes

Martinez

Parra

et al. 2011

Gynecol Obstet Invest

View full text Add to dashboard Cite

show abstract

“…There is an increased risk of operative and postoperative complications, including increased rates of postpartum haemorrhage, prolonged operative times, and infective complications such as endometritis and wound infection 97.…”

Section: Special Circumstancesmentioning

confidence: 99%

Peri-operative management of the obese surgical patient 2015

Nightingale¹,

Margarson²,

Shearer³

et al. 2015

Anaesthesia

243

View full text Add to dashboard Cite

show abstract

“…Sınırlı sayıda sahip olunan bu kanıtlara ve çalışmalara göre insizyon için ilk etapta transvers insizyon tercih edilmelidir. Fakat insizyon tipine karar verirken operasyonun güvenli bir şekilde tamamlanması da göz önünde bulundurulmalıdır (41) . Bazı merkezlerde pannusu kaldırmak yaygın kullanılan bir yöntemdir fakat bu yapılırken dikkatli olunmalıdır.…”

Section: Cerrahi Endişelerunclassified

“…Ek olarak obez kadınlar yara yeri enfeksiyonu açısından artmış riske sahiptirler (41) . Bununla birlikte, artan maternal kilo nedeni ile profilaktik antibiyotik dozu da artmaktadır (42) .…”

Section: Cerrahi Endişelerunclassified

Management of obese pregnancies

Özcan¹,

Töz²,

Özvatan³

et al. 2016

Terh

View full text Add to dashboard Cite

Tepecik Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği, İzmir ÖZDünyada üreme çağındaki kadınlarda obezite prevelansı giderek artmaktadır. Gebelikte maternal obezite anne ve fetus üzerine artmış risklerle birliktedir. Obez gebeliklerin yönetimi gebelik öncesi danışmanlıktan başlayıp, maternal obezitenin belirlenmesiyle birlikte gerekli önlemler alınarak hem anne sağlığı hem de fetal gelişiminin en iyi şekilde takip edilmesini sağlamaktır. Obez gebeliklerin yönetimi sağlıklı doğum yapmak ve uzun dönem hastaların sağlığına katkı sağlayabilen bir fırsat olabilir.Anahtar kelimeler: Maternal obezite, gebelik, gebelik komplikasyonları ABSTRACTPrevalence of obesity is gradually increasing among women in the reproductive age group all over the world. Maternal obesity during pregnancy is associated with increased risk for women and fetus. Management of obese pregnant women should begin prior to pregnancy with counselling and together with determination of maternal obesity, and ensure monitorization of both maternal and fetal health at an optimal level would decrease with necessary protection. Management of obese pregnancies can provide an opportunity for a healthy childbirth, and contribute favourable to the long-term health state of the patients.

show abstract

Obesity as an independent risk factor for infectious morbidity in patients who undergo cesarean delivery

Abstract: Our data suggest that obesity is a independent risk factor for postcesarean infectious morbidity and endomyometritis, even if the cesarean is elective and prophylactic antibiotics are given.

Cited by 179 publications

References 20 publications

Early Intensive Obstetric and Medical Nutrition Care Is Associated with Decreased Prepregnancy Obesity Impact on Perinatal Outcomes

Early Intensive Obstetric and Medical Nutrition Care Is Associated with Decreased Prepregnancy Obesity Impact on Perinatal Outcomes

Peri-operative management of the obese surgical patient 2015

Management of obese pregnancies

Contact Info

Product

Resources

About