Does use of an intrauterine catheter during labor increase risk of infection?

Karlijn Van Halem; Jannet J H Bakker; Corine J Verhoeven; Dimitri N M Papatsonis; Elisabeth D Van Oudgaarden; Petra Janssen; Kitty W Bloemenkamp; Ben Willem J Mol; Joris A M Van Der Post

doi:10.3109/14767058.2011.582905

Does use of an intrauterine catheter during labor increase risk of infection?

Karlijn Van Halem, Jannet J H Bakker, Corine J Verhoeven, Dimitri N M Papatsonis, Elisabeth D Van Oudgaarden, Petra Janssen, Kitty W Bloemenkamp, Ben Willem J Mol, Joris A M Van Der Post

Research output: Contribution to journal › Article › Academic › peer-review

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	https://doi.org/10.3109/14767058.2011.582905
Publication status	Published - Apr 2012

Cite this

Halem, K. V., Bakker, J. J. H., Verhoeven, C. J., Papatsonis, D. N. M., Oudgaarden, E. D. V., Janssen, P., ... Van Der Post, J. A. M. (2012). Does use of an intrauterine catheter during labor increase risk of infection? Journal of Maternal-Fetal and Neonatal Medicine, 25(4), 415-8. https://doi.org/10.3109/14767058.2011.582905

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. / Does use of an intrauterine catheter during labor increase risk of infection?. In: Journal of Maternal-Fetal and Neonatal Medicine. 2012 ; Vol. 25, No. 4. pp. 415-8.

@article{8c59b3fcf44b421dadb2644036b6725d,

title = "Does use of an intrauterine catheter during labor increase risk of infection?",

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.",

keywords = "Administration, Intravaginal, Catheters, Indwelling/adverse effects, Female, Fetal Monitoring/adverse effects, Follow-Up Studies, Humans, Infant, Newborn, Infant, Newborn, Diseases/epidemiology, Infection/epidemiology, Labor, Induced/adverse effects, Multicenter Studies as Topic, Netherlands/epidemiology, Oxytocin/administration & dosage, Pregnancy, Pregnancy Complications, Infectious/epidemiology, Randomized Controlled Trials as Topic/statistics & numerical data, Risk Factors, Up-Regulation, Uterine Monitoring/adverse effects, Uterus",

author = "Halem, {Karlijn Van} and Bakker, {Jannet J H} and Verhoeven, {Corine J} and Papatsonis, {Dimitri N M} and Oudgaarden, {Elisabeth D Van} and Petra Janssen and Bloemenkamp, {Kitty W} and Mol, {Ben Willem J} and {Van Der Post}, {Joris A M}",

year = "2012",

month = "4",

doi = "10.3109/14767058.2011.582905",

language = "English",

volume = "25",

pages = "415--8",

journal = "Journal of Maternal-Fetal and Neonatal Medicine",

issn = "1476-7058",

publisher = "Informa Healthcare",

number = "4",

}