Issue: 2023, Vol. 28, No. 1
ON THE ISSUE OF RISK FACTORS FOR POSTPARTUM ENDOMETRITIS IN MODERN MEGACITY
- Keywords
- postpartum endometritis, etiology, risk factors, megacity.
- Abstarct
- Postpartum endometritis (PE) is one of the general pathological processes of infectious inflammatory origin in obstetrics. Risk factors (RF) of PE are various. Further studies for the determination of the significance of each factor are required. Objective – to determine the frequency of various RF of PE development in modern megacity. Мaterial and methods. The study was performed in the 2 nd gynecological department of municipal Mariinsky hospital and in the obstetrics&gynecology clinic of the First Pavlov State Medical University of St.Petersburg of the Ministry of Health of the Russian Federation. 70 puerperium were examined: 50 women who were hospitalized with the diagnosis of PE, and 20 women - with physiological course of postpartum period (comparison group). Results and discussion. Patients with PE were younger than healthy puerperium: 25,3 ± 0,9 and 29,1 ± 1,4 years respectively (р < 0,05), had lower body mass index (BMI) – 27,1 ± 0,8 and 30,8 ± 1,3 kg/m 2 (р < 0,05), had longer anhydrous period in childbirth – 481,6 ± 78,9 and 242,5 ± 63,5 min (р < 0,05). Diseases of genitourinary system and ent organs were registered reliably more often in the patients from basic group (in basic group – 18 and 14 % respectively, in comparison group – 10 and 10 %), threat of termination of pregnancy (18 % – in basic group and 15 % – in comparison group, p< 0,05) and preeclampsia (46 and 10 % respectively, p< 0,05). At the same time frequency of anemia did not differ in the examined groups. Conclusion. This study did not confirm the significance of some discussed risk factors (body mass, anemia) in PE development.
Vestnik_1_2023-12-16