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 journalArticleAcademicpeer-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 languageEnglish
Pages (from-to)415-8
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume25
Issue number4
DOIs
Publication statusPublished - 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.
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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.",
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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}",
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Halem, KV, Bakker, JJH, Verhoeven, CJ, Papatsonis, DNM, Oudgaarden, EDV, Janssen, P, Bloemenkamp, KW, Mol, BWJ & Van Der Post, JAM 2012, 'Does use of an intrauterine catheter during labor increase risk of infection?' Journal of Maternal-Fetal and Neonatal Medicine, vol. 25, no. 4, pp. 415-8. https://doi.org/10.3109/14767058.2011.582905

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 journalArticleAcademicpeer-review

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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.

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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 -