Increased risk of endometritis and wound infection after cesarean section in insulin-dependent diabetic women

Michael Peter Diamond, Stephen S. Entman, Sheron L. Salyer, Wiliam K. Vaughn, Frank H. Boehm

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

To determine if diabetic women have an increased risk for post-cesarean section endometritis and/or wound infection, all insulin-requiring diabetic women who were delivered by cesarean section between 1977 and 1981 were compared with a group of nondiabetic patients delivered by cesarean section. Patients were divided into low-risk or high-risk groups on the basis of labor and ruptured membranes. Compared with control subjects, diabetic patients were at significantly greater risk for postoperative infectious morbidity. Among diabetic patients, risk for postoperative infections was independent of White's classification of diabetes and gestational age at delivery. The increased rate of infection among the diabetic patients suggests that prophylactic antibiotics might be efficacious for insulin-requiring diabetic patients undergoing cesarean section.

Original languageEnglish (US)
Pages (from-to)297-300
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume155
Issue number2
DOIs
StatePublished - Jan 1 1986
Externally publishedYes

Keywords

  • Diabetes mellitus
  • cesarean section
  • endometritis
  • pregnancy
  • wound infection

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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