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Supplemental oxygen for the prevention of postcesarean infectious morbidity: a randomized controlled trial.
- Source :
-
American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2011 Sep; Vol. 205 (3), pp. 267.e1-9. Date of Electronic Publication: 2011 Jun 17. - Publication Year :
- 2011
-
Abstract
- Objective: The purpose of this study was to investigate whether supplemental oxygen during and for 2 hours after cesarean delivery reduces the incidence of postcesarean infectious morbidity.<br />Study Design: We conducted a randomized, controlled trial from 2008-2010. Women who underwent cesarean delivery were randomly assigned to receive either 2 L of oxygen by nasal cannula during cesarean delivery only (standard care) or 10 L of oxygen by nonrebreather mask (intervention group) during and for 2 hours after cesarean delivery. Women who underwent scheduled or intrapartum cesarean delivery were eligible and were observed for 1 month after the procedure. The primary composite outcome was maternal infectious morbidity, which included endometritis and wound infection.<br />Results: Five hundred eighty-five women were included in the final analysis. Infectious morbidity occurred in 8.8% of patients in the standard care group and in 12.2% of patients in the supplemental oxygen group. There was no significant difference in the rate of infectious morbidity between the standard care and intervention groups (relative risk, 1.4; 95% confidence interval, 0.9-2.3).<br />Conclusion: Supplemental oxygen does not reduce the rate of postcesarean delivery infectious morbidity, including endometritis and wound infection.<br /> (Copyright © 2011 Mosby, Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1097-6868
- Volume :
- 205
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- American journal of obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 22071059
- Full Text :
- https://doi.org/10.1016/j.ajog.2011.06.038