PMID: 9540945Apr 16, 1998Paper

Intraoperative hypothermia and post-cesarean wound infection

Obstetrics and Gynecology
M B MunnJ Owen

Abstract

To determine whether intraoperative hypothermia during cesarean delivery is a risk factor for wound infection. Eighteen cases with wound infection and 18 controls matched for age, weight, presence of gestational hypertension, and surgery length were selected from a cohort of 900 women who underwent cesarean delivery and who were assessed for wound infection according to strict criteria. Because immediate postoperative temperatures reflect intraoperative temperature nadir accurately and were available universally, we compared the mean immediate postoperative temperatures between cases and controls. In addition to the intentionally matched factors, the groups were well-matched for race, parity, presence of labor, presence of meconium, and duration of membrane rupture. The mean initial postoperative temperatures were similar between the two groups (36.3+/-0.9C versus 36.6+/-1.0C, respectively; P=.8). This study had a power of 90% to detect an intergroup difference of 1C. In this case-control study of cesarean delivery, intraoperative hypothermia was not a risk factor for wound infection.

References

Aug 1, 1988·The Australian & New Zealand Journal of Obstetrics & Gynaecology·J Webster
Dec 1, 1994·Clinical Obstetrics and Gynecology·J Owen, W W Andrews
Jul 1, 1994·Critical Care Clinics·B R BoulangerA Rodriguez

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Citations

Jun 8, 2001·Archives of Medical Research·A Flores-MaldonadoR Fernández-Domínguez
May 29, 2004·Clinical Obstetrics and Gynecology·Aviva Lee-Parritz
May 3, 2001·The Pediatric Infectious Disease Journal·H B McAnallyJ K Todd
Jul 5, 2005·Obstetrical & Gynecological Survey·Sue Ellen SarsamGarrett K Lam
Aug 29, 2012·Obstetrical & Gynecological Survey·Lavenia Carpenter, Curtis L Baysinger
Dec 3, 2014·Obstetrics and Gynecology Clinics of North America·Joseph L Fitzwater, Alan T N Tita
Nov 25, 2003·Infectious Diseases in Obstetrics and Gynecology·Rodney K EdwardsPatrick Duff
Apr 19, 2006·International Wound Journal·Senthil KumarDavid John Leaper
Jan 8, 2009·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·W Matthew LinamBeverly L Connelly

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