Analysis of Risk Factors for Postpartum Infection in Patients with Scarred Uterus after Cesare-an Section
[Objective]To explore the risk factors of postpartum infection in patients with scarred uterus after cesarean section.[Methods]A retrospective analysis was conducted on the clinical data of 80 patients with scarred uterus admitted to our hospital from January 2018 to October 2023.All patients underwent cesarean section again and were divided into an infected group(n=20)and an uninfected group(n=60)based on whether they developed postpartum infection.Two sets of general information were compared,including the presence of reproductive tract infections during pregnancy and the presence of upper respiratory tract infec-tions;Multiple logistic regression analysis was used to identify the risk factors for postpartum infection in pa-tients with scarred uterus after cesarean section.[Results]There was no statistically significant difference in age,body mass index(BMI),gestational age,surgical time,anemia,presence of placenta previa,gestational hypertension,hyperlipidemia,proportion of upper respiratory tract infections,and gestational age between the two groups(P＞0.05);The proportions of premature rupture of membranes,postpartum hemorrhage,dia-betes in pregnancy,and reproductive tract infection in pregnancy in the infected group were significantly higher than those in the uninfected group(P＜0.05).Multivariate logistic regression analysis showed that premature rupture of membranes,postpartum hemorrhage,pregnancy diabetes,pregnancy genital tract infection were the risk factors for puerperal infection after cesarean section in women with scar uterus(all P＜0.05).[Con-clusion]The puerperal infection of patients with scar uterus after cesarean section is affected by many factors,among which premature rupture of membranes,postpartum hemorrhage,pregnancy diabetes,pregnancy geni-tal tract infection can predict the puerperal infection of such patients after cesarean section,which should be paid close attention to clinically.
万方数据
维普
