A review of post-caesarean infectious morbidity: how to prevent and treat

J Obstet Gynaecol. 2018 Jul;38(5):591-597. doi: 10.1080/01443615.2017.1394281. Epub 2018 Feb 12.

Abstract

Post-caesarean infectious complications result in significant maternal morbidity and mortality as well as increased readmissions and increased health care cost worldwide. This review provides a discussion of several risk factors that have been identified which predispose women to post-surgical infection. We also provide an overview of strategies for infection prevention including antibiotics, surgical techniques and negative pressure wound therapy. Criteria for diagnosis of wound infection are provided, as well as appropriate treatment regimens. Given the impact of maternal post caesarean infection, it is important for women's health care providers to understand how to prevent these infections, as well as recognise and treat them.

Keywords: Caesarean section; surgical site infection; wound infection.

Publication types

  • Review

MeSH terms

  • Antibiotic Prophylaxis*
  • Cesarean Section / adverse effects*
  • Female
  • Humans
  • Pregnancy
  • Risk Factors
  • Surgical Wound Infection / diagnosis
  • Surgical Wound Infection / etiology*
  • Surgical Wound Infection / prevention & control
  • Surgical Wound Infection / therapy
  • Wound Closure Techniques