Abstract
OBJECTIVE: To determine whether the use of an intrauterine catheter during labor is related to the occurrence of infection in mother or newborn during labor and up to 3 weeks postpartum.
METHODS: We performed a follow-up study of 1435 women who participated in a previously published multicentre randomized controlled trial in the Netherlands that assigned women in whom labor was induced or augmented with intravenous oxytocin to internal or external tocodynamometry. In the present post hoc analysis, we assessed the risk for infection, defined as a composite measure of any clinical sign of infection, treatment with antibiotics or sepsis during labor or in the postpartum period up to 3 weeks in mother or newborn.
RESULTS: There were 64 cases with indication of infection in the intrauterine catheter group (8.8%) versus 74 cases in the external monitoring group (10.4%). Relative risk: 0.91, 95% confidence interval: 0.77-1.1, and p: 0.33.
CONCLUSION: Use of an intrauterine catheter during labor does not increase the risk of infection.
| Original language | English |
|---|---|
| Pages (from-to) | 415-8 |
| Number of pages | 4 |
| Journal | Journal of Maternal-Fetal and Neonatal Medicine |
| Volume | 25 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 2012 |
Cite this
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Does use of an intrauterine catheter during labor increase risk of infection? / Halem, Karlijn Van; Bakker, Jannet J H; Verhoeven, Corine J; Papatsonis, Dimitri N M; Oudgaarden, Elisabeth D Van; Janssen, Petra; Bloemenkamp, Kitty W; Mol, Ben Willem J; Van Der Post, Joris A M.
In: Journal of Maternal-Fetal and Neonatal Medicine, Vol. 25, No. 4, 04.2012, p. 415-8.Research output: Contribution to journal › Article › Academic › peer-review
TY - JOUR
T1 - Does use of an intrauterine catheter during labor increase risk of infection?
AU - Halem, Karlijn Van
AU - Bakker, Jannet J H
AU - Verhoeven, Corine J
AU - Papatsonis, Dimitri N M
AU - Oudgaarden, Elisabeth D Van
AU - Janssen, Petra
AU - Bloemenkamp, Kitty W
AU - Mol, Ben Willem J
AU - Van Der Post, Joris A M
PY - 2012/4
Y1 - 2012/4
N2 - OBJECTIVE: To determine whether the use of an intrauterine catheter during labor is related to the occurrence of infection in mother or newborn during labor and up to 3 weeks postpartum.METHODS: We performed a follow-up study of 1435 women who participated in a previously published multicentre randomized controlled trial in the Netherlands that assigned women in whom labor was induced or augmented with intravenous oxytocin to internal or external tocodynamometry. In the present post hoc analysis, we assessed the risk for infection, defined as a composite measure of any clinical sign of infection, treatment with antibiotics or sepsis during labor or in the postpartum period up to 3 weeks in mother or newborn.RESULTS: There were 64 cases with indication of infection in the intrauterine catheter group (8.8%) versus 74 cases in the external monitoring group (10.4%). Relative risk: 0.91, 95% confidence interval: 0.77-1.1, and p: 0.33.CONCLUSION: Use of an intrauterine catheter during labor does not increase the risk of infection.
AB - OBJECTIVE: To determine whether the use of an intrauterine catheter during labor is related to the occurrence of infection in mother or newborn during labor and up to 3 weeks postpartum.METHODS: We performed a follow-up study of 1435 women who participated in a previously published multicentre randomized controlled trial in the Netherlands that assigned women in whom labor was induced or augmented with intravenous oxytocin to internal or external tocodynamometry. In the present post hoc analysis, we assessed the risk for infection, defined as a composite measure of any clinical sign of infection, treatment with antibiotics or sepsis during labor or in the postpartum period up to 3 weeks in mother or newborn.RESULTS: There were 64 cases with indication of infection in the intrauterine catheter group (8.8%) versus 74 cases in the external monitoring group (10.4%). Relative risk: 0.91, 95% confidence interval: 0.77-1.1, and p: 0.33.CONCLUSION: Use of an intrauterine catheter during labor does not increase the risk of infection.
KW - Administration, Intravaginal
KW - Catheters, Indwelling/adverse effects
KW - Female
KW - Fetal Monitoring/adverse effects
KW - Follow-Up Studies
KW - Humans
KW - Infant, Newborn
KW - Infant, Newborn, Diseases/epidemiology
KW - Infection/epidemiology
KW - Labor, Induced/adverse effects
KW - Multicenter Studies as Topic
KW - Netherlands/epidemiology
KW - Oxytocin/administration & dosage
KW - Pregnancy
KW - Pregnancy Complications, Infectious/epidemiology
KW - Randomized Controlled Trials as Topic/statistics & numerical data
KW - Risk Factors
KW - Up-Regulation
KW - Uterine Monitoring/adverse effects
KW - Uterus
U2 - 10.3109/14767058.2011.582905
DO - 10.3109/14767058.2011.582905
M3 - Article
VL - 25
SP - 415
EP - 418
JO - Journal of Maternal-Fetal and Neonatal Medicine
JF - Journal of Maternal-Fetal and Neonatal Medicine
SN - 1476-7058
IS - 4
ER -