JOURNAL ARTICLE

Post Caesarean section infective morbidity in HIV-positive women at a tertiary training hospital in Zimbabwe

P Zvandasara, G Saungweme, J T Mlambo, J Moyo
Central African Journal of Medicine 2007, 53 (9-12): 43-7
20353124

OBJECTIVE: To investigate the infective morbidity in HIV-positive and HIV-negative women whose babies were delivered by Caesarean section.

DESIGN: A hospital based, prospective study: part of a larger operational research project.

SETTING: Harare Maternity Hospital, a tertiary referral teaching hospital in Harare, Zimbabwe.

SUBJECT: 164 HIV-positive and 382 HIV-negative women who were delivered of their babies by Caesarean sections.

MAIN OUTCOME MEASURES: Minor and major infective complications.

RESULTS: The results compare HIV-positive and HIV-negative women, 18/164 (10.9%) HIV-positive women developed anaemia requiring blood transfusion compared with 15/382 (3.9%) HIV-negative women. The difference was statistically significant (RR 3.05). HIV-positive women had a statistically significant increase in the incidence of post operative fever (RR 1.3) and wound sepsis/sinus (p = 0.002).

CONCLUSION: Our study indicates that HIV-positive women who were given prophylactic pre-operative antibiotics were at an increased risk of minor infective complications and blood transfusion post Caesarean section. The risk of blood transfusion was higher in women who had a pre-operative haemoglobin of 10.5 grams/dl. Post operative fever, wound sepsis and wound sinus was commoner in HIV-positive when compared to HIV-negative women.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
20353124
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"