Intrapartum bacteriuria and postpartum endometritis
Bacterial infections may develop following childbirth, and the bacteria most frequently associated with infection is Escherichia coli, a type of Enterobacteriaceae. Studies suggest that infection of the urinary tract with Enterobacteriaceae can spread to the uterus during vaginal delivery. This bacteria can be detected in the urine, blood, and endometrium (inner lining of the uterus) in women with bacterial infection of the blood (septicemia) who deliver vaginally. The complications related to bacteriuria (bacteria in the urine) were assessed in 10 women who developed bacteriuria before the start of labor. These women delivered vaginally and were not treated with antibiotics. Endometritis, the inflammation of the endometrium, developed in 4 of these 10 women following childbirth. Three of these patients had the same type of Enterobacteriaceae detected in urine and endometrial cultures. Endometritis also developed in 27 of 1,233 women who delivered vaginally; these women, however, did not have symptoms of bacteriuria. The findings show that the development of bacteriuria during childbirth is associated with endometritis following childbirth among women who deliver vaginally. Pregnant women should be continuously screened for bacteriuria, and treated with antibiotics if bacterial infection is detected, to prevent endometritis following childbirth. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Obstetrics and Gynecology
Hunting with my sister
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Samina Ali, a writer living in San Francisco, describes her experiences and complications when she was pregnant with her son Isham. According to her, the best way to describe the experience is by comparing it to the sensation she had after getting the epidural.
Publication Name: Child
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