How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

519 results for

Postpartum Endometritis

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

161. Endometrial Stem Cells in Farm Animals: Potential Role in Uterine Physiology and Pathology (PubMed)

on the bovine species. In bovines, eMSCs have been identified during the phases of the estrous cycle, during which their functionality and the presence of eMSC-specific markers has been shown to change. Moreover, postpartum inflammation related to endometritis affects the presence and functionality of eMSCs, and prostaglandin E2 (PGE₂) may be the mediator of such changes. We demonstrated that exposure to PGE₂ in vitro modifies the transcriptomic profile of eMSCs, showing its potential role in the fate (...) of stem cell activation, migration, and homing during pathological uterine inflammation in endometritis and in healthy puerperal endometrium. Farm animal research on eMSCs can be of great value in translational research for certain uterine pathologies and for immunomodulation of local responses to pathogens, hormones, and other substances. Further research is necessary in areas such as in vivo location of the niches and their immunomodulatory and anti-infective properties.

Full Text available with Trip Pro

2018 Bioengineering

162. The effect of endometrial thickness on pregnancy outcome in patients with Asherman’s syndrome post-hysteroscopic adhesiolysis (PubMed)

that included 41 women who attended Women's Specialized Hospital, King Fahad Medical City from December 2008 to December 2015, presented with a history of infertility or recurrent pregnancy loss, and were diagnosed with intrauterine adhesions and treated by hysteroscopic adhesiolysis. To analyze the causative factors of AS, history of curettage, miscarriage, postpartum hemorrhage, hysteroscopy, endometritis, and any uterine surgery were recorded. Patients were followed up for 2 years to account

Full Text available with Trip Pro

2018 International journal of women's health

163. Association of chorioamnionitis and its duration with adverse maternal outcomes by mode of delivery: a cohort study. (PubMed)

the duration of chorioamnionitis estimated from intrapartum antibiotic use, with adverse maternal outcomes was analysed using logistic regression with generalised estimating equations, adjusting for age, parity, race, pregestational diabetes, chronic hypertension, gestational age at delivery, study site and delivery year. Analyses were stratified by vaginal versus caesarean delivery.The composite adverse maternal outcome included: postpartum transfusion, endometritis, wound/perineal infection/separation (...) , venous thromboembolism, hysterectomy, admission to intensive care unit and/or death.Chorioamnionitis was associated with higher odds of the composite adverse maternal outcome with caesarean delivery (adjusted odds ratio 2.31; 95% CI 1.97-2.71); and the association persisted regardless of whether a woman had a trial of labour, preterm delivery or maternal group B streptococcus colonisation. The most common adverse outcomes after caesarean section were postpartum transfusion (56.0%) and wound/perineal

2018 BJOG

164. Risk factors of premature rupture of membranes in public hospitals at Mekele city, Tigray, a case control study. (PubMed)

Risk factors of premature rupture of membranes in public hospitals at Mekele city, Tigray, a case control study. The incidence of premature rupture of membranes ranges from about 5% to 10% of all deliveries. A woman with premature rupture of membranes is at risk of intra-amniotic infection, postpartum infection, endometritis, and death. A neonate born from premature rupture of membranes mother is at high risk of respiratory distress syndrome, sepsis, intraventricular hemorrhage and death

Full Text available with Trip Pro

2018 BMC Pregnancy and Childbirth

165. Pedometers for the Enhancement of Post Cesarean Mobility

Measures : Number of participants with a postpartum complication composite [ Time Frame: 48 hours ] Composite of postpartum complications, including infectious (endometritis, wound), blood product transfusion Number of analgesic doses [ Time Frame: 48 hours ] Number of doses of analgesics consumed by patient Length of hospitalization [ Time Frame: From 72 hours to one week ] Duration of postpartum hospitalization Number of thromboembolic events [ Time Frame: Six weeks ] Thromboembolic events during

2018 Clinical Trials

166. Institutional Protocols for Vaginal Preparation With Antiseptic Solution and Surgical Site Infection Rate in Women Undergoing Cesarean Delivery During Labor. (PubMed)

in laboring patients with viable pregnancies. The primary outcome for this analysis was the rate of superficial or deep surgical site infection within 6 weeks postpartum, as per Centers for Disease Control and Prevention criteria. Maternal secondary outcomes included a composite of endometritis, wound infection or other infections, postoperative maternal fever, length of hospital stay, and the rates of hospital readmission, unexpected office visits, and emergency department visits.A total of 523 women

2018 Obstetrics and Gynecology

167. Institutional Protocols for Vaginal Preparation With Antiseptic Solution and Surgical Site Infection Rate in Women Undergoing Cesarean Delivery During Labor. (PubMed)

in laboring patients with viable pregnancies. The primary outcome for this analysis was the rate of superficial or deep surgical site infection within 6 weeks postpartum, as per Centers for Disease Control and Prevention criteria. Maternal secondary outcomes included a composite of endometritis, wound infection or other infections, postoperative maternal fever, length of hospital stay, and the rates of hospital readmission, unexpected office visits, and emergency department visits.A total of 523 women

2018 Obstetrics and Gynecology

168. Mechanical dilatation of the cervix at non-labour caesarean section for reducing postoperative morbidity. (PubMed)

moderate-to-high risk of bias. None of the three trials reported our primary outcome of postpartum haemorrhage. In one study of 400 women, blood loss was significantly lower in the cervical dilatation group compared with the no dilatation group (mean difference (MD) -48.49 ml, 95% confidence interval (CI) -88.75 to -8.23). The incidence of febrile morbidity and haemoglobin concentrations in the postoperative period in women undergoing intraoperative cervical dilatation was not significantly different (...) from those who did not receive cervical dilatation (risk ratio (RR) 1.07, 95% CI 0.52 to 2.21 (three trials, 735 women) and MD -0.05 g/dl, 95% CI -0.17 to 0.06 (two trials, 552 women), respectively. There were no significant differences in wound infection, change of haemoglobin level, hematocrit level at postoperative period, endometritis, infectious morbidity, or urinary tract infection. There was a significant difference in operative time, which was reduced in cervical dilatation group (MD -1.84

2011 Cochrane

169. Bacterial Sepsis following Pregnancy

of the Centre for Maternal and Child Enquiries (CMACE) Eighth Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. 1 This topic is particularly relevant as there has been a dramatic rise in maternal deaths attributable to group A beta-haemolytic streptococci (GAS) (three in 2000–2002 2 and 13 in 2006–2008). 1 The most common site of sepsis in the puerperium is the genital tract and in particular the uterus, resulting in endometritis. This guideline covers the recognition of febrile (...) bacterial illness in the postpartum period – including postabortion sepsis – arising in the genital tract or elsewhere, investigations to identify and characterise sepsis in the puerperium, and management strategies. The population covered includes women in the puerperium (i.e. within 6 weeks of giving birth) with suspected or diagnosed bacterial sepsis in primary or secondary care. Sepsis in pregnancy is covered by a parallel guideline. Sepsis arising owing to viral or parasitic agents is outside

2012 Royal College of Obstetricians and Gynaecologists

170. Chlorhexidine Gluconate (CHG) for Suturing in the Emergency Room and Perineal Washing During Vaginal Deliveries: A Review of Safety, Evidence-Based Guidelines and Recommendations

and for perineal washing during vaginal deliveries? One systematic review examined the effectiveness of chlorhexidine vaginal douching during labour on maternal and neonatal outcomes. 5 This review included three RCTs for a total of 3012 pregnant women. When the data from the RCTs were pooled, there was no statistically significant difference in the maternal incidence of chorioamnionitis or postpartum endometritis between chlorhexidine and placebo groups. With regards to neonatal outcomes, no significant (...) the chlorhexidine and placebo groups (RR 1.10, 95% CI 0.86-1.42). Data from these three trials suggested a small reduction in the risk of postpartum endometritis in the chlorhexidine group, but the difference was not statistically significant (RR 0.83, 95% CI 0.61-1.13). One trial (n=910) found no significant difference in the incidence of neonatal pneumonia between the two groups (RR 0.33, 95% CI 0.01-8.09). One trial (n=1021) found no significant difference in neonatal meningitis between the two groups (RR

2012 Canadian Agency for Drugs and Technologies in Health - Rapid Review

171. Antepartum Haemorrhage

Haemorrhage emerges as the major cause of severe maternal morbidity in almost all ‘near miss’ audits in both developed and developing countries. 10 Obstetric haemorrhage encompasses both antepartum and postpartum bleeding. This green-top guideline is restricted in scope to the management of APH. The causes of APH include: placenta praevia, placental abruption and local causes (for example bleeding from the vulva, vagina or cervix). It is not uncommon to fail to identify a cause for APH when (...) it is then described as ‘unexplained APH’. Green-top guidelines that are relevant to this topic and are cited in this guideline include: RCOG Green-top Guideline No. 47 Blood Transfusions in Obstetrics 3 RCOG Green-top Guideline No. 22 The Use of Anti-D Immunoglobulin for Rhesus D Prophylaxis 11 RCOG Green-top Guideline No. 27 Placenta Praevia, Placenta Praevia Accreta and Vasa Praevia: Diagnosis and Management 12 RCOG Green-top Guideline No. 52 Prevention and Management of Postpartum Haemorrhage 13 RCOG Green-top

2011 Royal College of Obstetricians and Gynaecologists

172. Operative Vaginal Delivery

in place in case of failure to deliver. When conducting mid-cavity deliveries, theatre staff should be immediately available to allow a caesarean section to be performed without delay (less than 30 minutes). A senior obstetrician competent in performing mid-cavity deliveries should be present if a junior trainee is performing the delivery. Anticipation of complications that may arise (e.g. shoulder dystocia, postpartum haemorrhage) Personnel present that are trained in neonatal resuscitation * Adapted (...) obstetric anal sphincter injury in vacuum extraction (4.3% with episiotomy versus 5.5% without episiotomy) and forceps delivery (11.7% versus 10.6%). However, episiotomy was associated with a greater incidence of postpartum haemorrhage (28.4% versus 18.4%, OR 1.72, 95% CI 1.21–2.45). This conflict in findings between the two studies may be due to variations in practice of the threshold for episiotomy and use of different instruments. 5.7 Should prophylactic antibiotics be given? There are insufficient

2011 Royal College of Obstetricians and Gynaecologists

174. Cardiovascular Diseases during Pregnancy

support services are available. The method, including the need for anaesthesia, should be considered on an individual basis. High risk patients should be managed in an experienced centre with on-site cardiac surgery. Endocarditis pro- phylaxis is not consistently recommended by cardiologists, 81 but treatment should be individualized. Gynaecologists routinely advise antibiotic prophylaxis to prevent post-abortal endometritis, which occurs in 5–20% of women not given antibiotics. 82,83 Dilatation

2011 European Society of Cardiology

175. Effects of subcutaneous calcium administration at calving on mineral status, health, and production of Holstein cows. (PubMed)

ratio was >1 for development of metritis, and clinical and subclinical endometritis in control cows relative to 2SC250 cows, which indicates a higher risk of developing disease for control cows (2.03, 1.7, and 1.8 times, respectively). These results suggest that prophylactic s.c. infusions of Ca at calving can improve postpartum Ca status in Holstein cows and intake at 1 DIM. Given the reduction of metritis, clinical and subclinical endometritis, and subclinical hypocalcemia with treatment (...) (9.27mg/dL), and 2SC250 (9.07mg/dL) was greater during the first week postpartum compared with control (8.45mg/dL). Serum concentrations of P, Mg, BHB, glucose, and milk yield were not affected by treatments. The dry matter intake during the first 24h after calving was higher for treatments 1SC250 (13.5kg), 1SC500 (15.0kg), and 2SC250 (15.6kg) relative to control (12.5kg). Milk somatic cell counts were lower for 1SC500 (90.5 cells/mL) and 2SC250 (82.2 cells/mL) than control (132.8 cells/mL). Risk

2017 Journal of dairy science

176. LCS16 vs. COC User Satisfaction and Tolerability Study

the Screening Visit) Infected abortion or postpartum endometritis within 3 months prior to the Screening Visit. Chronic, daily use of drugs that may increase serum potassium levels. Undiagnosed abnormal genital bleeding. Acute cervicitis or vaginitis (until successfully treated). Lower urinary tract infection (until successfully treated). Acute or recurrent pelvic inflammatory disease or conditions associated with increased risk for pelvic infections. Congenital or acquired uterine anomaly including (...) Visit [Visit 1] or a normal result has to have been documented within the previous 6 months). The subject has a history of regular (i.e., endogenous cyclicity without hormonal contraceptive use) cyclic menstrual periods (length of cycle 21 - 35 days), as confirmed by the subject. The subject is willing and able to attend the scheduled study visits and to comply with the study procedures. Exclusion Criteria: Pregnancy or current lactation (less than 6 weeks postpartum or since abortion before

2017 Clinical Trials

177. Prophylactic antibiotics before cord clamping in cesarean delivery: a systematic review. (PubMed)

Prophylactic antibiotics before cord clamping in cesarean delivery: a systematic review. The number of clinical trials investigating the optimal timing of prophylactic antibiotics in cesarean section has increased rapidly over the last few years. We conducted a systematic review to inform up-to-date evidence-based guidelines to prevent postpartum infectious morbidity in the mother and rule out any safety issues related to antepartum antibiotic exposure in infants.Four bibliographic databases (...) % (relative risk 0.72, 95% confidence interval 0.56-0.92, nine studies, 4342 women, high quality of evidence) less likely to show infectious morbidity as compared with those who received antibiotics after cord clamping. The risk of endomyometritis and/or endometritis was reduced by 43% (relative risk 0.57, 95% confidence interval 0.40-0.82, 13 studies, 6250 women, high quality of evidence) and the risk of wound infection by 38% (relative risk 0.62, 95% confidence interval 0.47-0.81, 14 studies, 6450 women

Full Text available with Trip Pro

2017 Acta Obstetricia et Gynecologica Scandinavica

178. Committee Opinion No. 712 Summary: Intrapartum Management of Intraamniotic Infection. (PubMed)

will be noted among term patients in labor. Intraamniotic infection can be associated with acute neonatal morbidity, including neonatal pneumonia, meningitis, sepsis, and death. Maternal morbidity from intraamniotic infection also can be significant, and may include dysfunctional labor requiring increased intervention, postpartum uterine atony with hemorrhage, endometritis, peritonitis, sepsis, adult respiratory distress syndrome and, rarely, death. Recognition of intrapartum intraamniotic infection

2017 Obstetrics and Gynecology

179. Committee Opinion No. 712: Intrapartum Management of Intraamniotic Infection. (PubMed)

will be noted among term patients in labor. Intraamniotic infection can be associated with acute neonatal morbidity, including neonatal pneumonia, meningitis, sepsis, and death. Maternal morbidity from intraamniotic infection also can be significant, and may include dysfunctional labor requiring increased intervention, postpartum uterine atony with hemorrhage, endometritis, peritonitis, sepsis, adult respiratory distress syndrome and, rarely, death. Recognition of intrapartum intraamniotic infection

2017 Obstetrics and Gynecology

180. Risk Factors for Postcesarean Maternal Infection in a Trial of Extended-Spectrum Antibiotic Prophylaxis. (PubMed)

received standard preincision prophylaxis and were randomized to receive azithromycin or placebo. The primary outcome for this analysis is maternal infection: a composite outcome of endometritis, wound infection (superficial or deep), or other infections occurring up to 6 weeks postpartum. Maternal clinical characteristics associated with maternal infection, after controlling for azithromycin assignment, were identified. These maternal factors were included in a multivariable logistic regression model

Full Text available with Trip Pro

2017 Obstetrics and Gynecology

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>