INFECTIONS FOLLOWING CLASSICAL CESAREAN-SECTION

  • 1 January 1980
    • journal article
    • research article
    • Vol. 55  (2) , 167-169
Abstract
The post-operative morbidity of classical cesarean section (CCS) was evaluated. Of 89 such procedures performed between 1970 and 1977, all cases in which prophylactic antibiotics were used were excluded, 47 patients (53%) developed standard morbidity and 46 patients (52%) had a clinical diagnosis of infection. Of these, 30 patients (34%) had endoparametritis, 5 patients (6%) had abdominal wound infection and 11 patients (12%) had urinary tract or pulmonary infection. Two patients (2%) had pelvic thrombophlebitis but no patient had an abscess or pelvic hematoma. In comparison with matched patients who had a low cervical transverse cesarean section (LCTCS) performed during the same time, patients with a CCS had a comparable incidence of standard morbidity and operative site infection. These infections responded promptly to vigorous antibiotic therapy with no apparent increased risk of major post-operative complications in the population studied.