Open AccessPuerperal endometritis after abdominal twin delivery
Author(s) -
Suonio Sakari,
Huttunen Marjatta
Publication year - 1994
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349409015769
Subject(s) - medicine , endometritis , odds ratio , obstetrics , incidence (geometry) , singleton , pregnancy , confidence interval , prospective cohort study , gynecology , surgery , biology , genetics , physics , optics
The infectious complications of 122 consecutive abdominal twin deliveries over the period 1984‐1989 were analyzed in a prospective clinical study, comparing them with 761 singleton abdominal deliveries over the period 1984‐1986. The incidence of endometritis was nearly three‐fold after twin deliveries and the incidence of abdominal wound infections nearly twofold compared with singleton abdominal pregnancies (13.1/4.7% and 5.6/3.0%). The risk of amnionitis was increased ten‐fold, 6 hours after rupture of the membranes in abdominal twin delivery, but no connection was found between amnionitis and endometritis, as in singleton abdominal deliveries. Multiple regression analysis indicated only two risk factors as regards puerperal endometritis after abdominal twin delivery: age under 25 years (odds ratio 6.9, 95% confidence limits 1.9‐24.8), an association also seen in singleton abdominal deliveries, and a period of more than 6 hours from rupture of membranes to delivery (odds ratio 7.8, 95% confidence limits 2.1‐28.5). Multiple pregnancy appears to be associated with an increased risk of endometritis. The etiological factors remain unknown, but a large placental bed and/or immunological factors may be implicated.