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Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study
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| Zeitschriftentitel: | BMJ Open |
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| Personen und Körperschaften: | , , , , , |
| In: | BMJ Open, 8, 2018, 3, S. e018479 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
BMJ
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| Schlagwörter: |
| author_facet |
Gundersen, Tina Djernis Krebs, Lone Loekkegaard, Ellen Christine Leth Rasmussen, Steen Christian Glavind, Julie Clausen, Tine Dalsgaard Gundersen, Tina Djernis Krebs, Lone Loekkegaard, Ellen Christine Leth Rasmussen, Steen Christian Glavind, Julie Clausen, Tine Dalsgaard |
|---|---|
| author |
Gundersen, Tina Djernis Krebs, Lone Loekkegaard, Ellen Christine Leth Rasmussen, Steen Christian Glavind, Julie Clausen, Tine Dalsgaard |
| spellingShingle |
Gundersen, Tina Djernis Krebs, Lone Loekkegaard, Ellen Christine Leth Rasmussen, Steen Christian Glavind, Julie Clausen, Tine Dalsgaard BMJ Open Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study General Medicine |
| author_sort |
gundersen, tina djernis |
| spelling |
Gundersen, Tina Djernis Krebs, Lone Loekkegaard, Ellen Christine Leth Rasmussen, Steen Christian Glavind, Julie Clausen, Tine Dalsgaard 2044-6055 2044-6055 BMJ General Medicine http://dx.doi.org/10.1136/bmjopen-2017-018479 <jats:sec><jats:title>Objectives</jats:title><jats:p>To examine the association between postpartum urinary tract infection and intended mode of delivery as well as actual mode of delivery.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Retrospective cohort study.</jats:p></jats:sec><jats:sec><jats:title>Setting and participants</jats:title><jats:p>All live births in Denmark between 2004 and 2010 (n=450 856). Births were classified by intended caesarean delivery (n=45 053) or intended vaginal delivery (n=405 803), and by actual mode of delivery: spontaneous vaginal delivery, operative vaginal delivery, emergency or planned caesarean delivery in labour or prelabour.</jats:p></jats:sec><jats:sec><jats:title>Primary and secondary outcome measures</jats:title><jats:p>The primary outcome measure was postpartum urinary tract infection (n=16 295) within 30 days post partum, defined as either a diagnosis of urinary tract infection in the National Patient Registry or redemption of urinary tract infection-specific antibiotics recorded in the Register of Medicinal Product Statistics.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We found that 4.6% of women with intended caesarean delivery and 3.5% of women with intended vaginal delivery were treated for postpartum urinary tract infection.</jats:p><jats:p>Women with intended caesarean delivery had a significantly increased risk of postpartum urinary tract infection compared with women with intended vaginal delivery (OR 1.33, 95% CI 1.27 to 1.40), after adjustment for age at delivery, smoking, body mass index, educational level, gestational diabetes mellitus, infection during pregnancy, birth weight, preterm delivery, preterm prelabour rupture of membranes, pre-eclampsia, parity and previous caesarean delivery (adjusted OR 1.24, 95% CI 1.17 to 1.46).</jats:p><jats:p>Using actual mode of delivery as exposure, all types of operative delivery had an equally increased risk of postpartum urinary tract infection compared with spontaneous vaginal delivery.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Compared with intended vaginal delivery, intended caesarean delivery was significantly associated with a higher risk of postpartum urinary tract infection. Future studies should focus on reducing routine catheterisation prior to operative vaginal delivery as well as improving procedures related to catheterisation.</jats:p></jats:sec> Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study BMJ Open |
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Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_unstemmed |
Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_full |
Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_fullStr |
Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_full_unstemmed |
Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_short |
Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_sort |
postpartum urinary tract infection by mode of delivery: a danish nationwide cohort study |
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General Medicine |
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http://dx.doi.org/10.1136/bmjopen-2017-018479 |
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2018 |
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e018479 |
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<jats:sec><jats:title>Objectives</jats:title><jats:p>To examine the association between postpartum urinary tract infection and intended mode of delivery as well as actual mode of delivery.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Retrospective cohort study.</jats:p></jats:sec><jats:sec><jats:title>Setting and participants</jats:title><jats:p>All live births in Denmark between 2004 and 2010 (n=450 856). Births were classified by intended caesarean delivery (n=45 053) or intended vaginal delivery (n=405 803), and by actual mode of delivery: spontaneous vaginal delivery, operative vaginal delivery, emergency or planned caesarean delivery in labour or prelabour.</jats:p></jats:sec><jats:sec><jats:title>Primary and secondary outcome measures</jats:title><jats:p>The primary outcome measure was postpartum urinary tract infection (n=16 295) within 30 days post partum, defined as either a diagnosis of urinary tract infection in the National Patient Registry or redemption of urinary tract infection-specific antibiotics recorded in the Register of Medicinal Product Statistics.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We found that 4.6% of women with intended caesarean delivery and 3.5% of women with intended vaginal delivery were treated for postpartum urinary tract infection.</jats:p><jats:p>Women with intended caesarean delivery had a significantly increased risk of postpartum urinary tract infection compared with women with intended vaginal delivery (OR 1.33, 95% CI 1.27 to 1.40), after adjustment for age at delivery, smoking, body mass index, educational level, gestational diabetes mellitus, infection during pregnancy, birth weight, preterm delivery, preterm prelabour rupture of membranes, pre-eclampsia, parity and previous caesarean delivery (adjusted OR 1.24, 95% CI 1.17 to 1.46).</jats:p><jats:p>Using actual mode of delivery as exposure, all types of operative delivery had an equally increased risk of postpartum urinary tract infection compared with spontaneous vaginal delivery.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Compared with intended vaginal delivery, intended caesarean delivery was significantly associated with a higher risk of postpartum urinary tract infection. Future studies should focus on reducing routine catheterisation prior to operative vaginal delivery as well as improving procedures related to catheterisation.</jats:p></jats:sec> |
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| author | Gundersen, Tina Djernis, Krebs, Lone, Loekkegaard, Ellen Christine Leth, Rasmussen, Steen Christian, Glavind, Julie, Clausen, Tine Dalsgaard |
| author_facet | Gundersen, Tina Djernis, Krebs, Lone, Loekkegaard, Ellen Christine Leth, Rasmussen, Steen Christian, Glavind, Julie, Clausen, Tine Dalsgaard, Gundersen, Tina Djernis, Krebs, Lone, Loekkegaard, Ellen Christine Leth, Rasmussen, Steen Christian, Glavind, Julie, Clausen, Tine Dalsgaard |
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| description | <jats:sec><jats:title>Objectives</jats:title><jats:p>To examine the association between postpartum urinary tract infection and intended mode of delivery as well as actual mode of delivery.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Retrospective cohort study.</jats:p></jats:sec><jats:sec><jats:title>Setting and participants</jats:title><jats:p>All live births in Denmark between 2004 and 2010 (n=450 856). Births were classified by intended caesarean delivery (n=45 053) or intended vaginal delivery (n=405 803), and by actual mode of delivery: spontaneous vaginal delivery, operative vaginal delivery, emergency or planned caesarean delivery in labour or prelabour.</jats:p></jats:sec><jats:sec><jats:title>Primary and secondary outcome measures</jats:title><jats:p>The primary outcome measure was postpartum urinary tract infection (n=16 295) within 30 days post partum, defined as either a diagnosis of urinary tract infection in the National Patient Registry or redemption of urinary tract infection-specific antibiotics recorded in the Register of Medicinal Product Statistics.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We found that 4.6% of women with intended caesarean delivery and 3.5% of women with intended vaginal delivery were treated for postpartum urinary tract infection.</jats:p><jats:p>Women with intended caesarean delivery had a significantly increased risk of postpartum urinary tract infection compared with women with intended vaginal delivery (OR 1.33, 95% CI 1.27 to 1.40), after adjustment for age at delivery, smoking, body mass index, educational level, gestational diabetes mellitus, infection during pregnancy, birth weight, preterm delivery, preterm prelabour rupture of membranes, pre-eclampsia, parity and previous caesarean delivery (adjusted OR 1.24, 95% CI 1.17 to 1.46).</jats:p><jats:p>Using actual mode of delivery as exposure, all types of operative delivery had an equally increased risk of postpartum urinary tract infection compared with spontaneous vaginal delivery.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Compared with intended vaginal delivery, intended caesarean delivery was significantly associated with a higher risk of postpartum urinary tract infection. Future studies should focus on reducing routine catheterisation prior to operative vaginal delivery as well as improving procedures related to catheterisation.</jats:p></jats:sec> |
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| spelling | Gundersen, Tina Djernis Krebs, Lone Loekkegaard, Ellen Christine Leth Rasmussen, Steen Christian Glavind, Julie Clausen, Tine Dalsgaard 2044-6055 2044-6055 BMJ General Medicine http://dx.doi.org/10.1136/bmjopen-2017-018479 <jats:sec><jats:title>Objectives</jats:title><jats:p>To examine the association between postpartum urinary tract infection and intended mode of delivery as well as actual mode of delivery.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Retrospective cohort study.</jats:p></jats:sec><jats:sec><jats:title>Setting and participants</jats:title><jats:p>All live births in Denmark between 2004 and 2010 (n=450 856). Births were classified by intended caesarean delivery (n=45 053) or intended vaginal delivery (n=405 803), and by actual mode of delivery: spontaneous vaginal delivery, operative vaginal delivery, emergency or planned caesarean delivery in labour or prelabour.</jats:p></jats:sec><jats:sec><jats:title>Primary and secondary outcome measures</jats:title><jats:p>The primary outcome measure was postpartum urinary tract infection (n=16 295) within 30 days post partum, defined as either a diagnosis of urinary tract infection in the National Patient Registry or redemption of urinary tract infection-specific antibiotics recorded in the Register of Medicinal Product Statistics.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We found that 4.6% of women with intended caesarean delivery and 3.5% of women with intended vaginal delivery were treated for postpartum urinary tract infection.</jats:p><jats:p>Women with intended caesarean delivery had a significantly increased risk of postpartum urinary tract infection compared with women with intended vaginal delivery (OR 1.33, 95% CI 1.27 to 1.40), after adjustment for age at delivery, smoking, body mass index, educational level, gestational diabetes mellitus, infection during pregnancy, birth weight, preterm delivery, preterm prelabour rupture of membranes, pre-eclampsia, parity and previous caesarean delivery (adjusted OR 1.24, 95% CI 1.17 to 1.46).</jats:p><jats:p>Using actual mode of delivery as exposure, all types of operative delivery had an equally increased risk of postpartum urinary tract infection compared with spontaneous vaginal delivery.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Compared with intended vaginal delivery, intended caesarean delivery was significantly associated with a higher risk of postpartum urinary tract infection. Future studies should focus on reducing routine catheterisation prior to operative vaginal delivery as well as improving procedures related to catheterisation.</jats:p></jats:sec> Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study BMJ Open |
| spellingShingle | Gundersen, Tina Djernis, Krebs, Lone, Loekkegaard, Ellen Christine Leth, Rasmussen, Steen Christian, Glavind, Julie, Clausen, Tine Dalsgaard, BMJ Open, Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study, General Medicine |
| title | Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_full | Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_fullStr | Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_full_unstemmed | Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_short | Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| title_sort | postpartum urinary tract infection by mode of delivery: a danish nationwide cohort study |
| title_unstemmed | Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study |
| topic | General Medicine |
| url | http://dx.doi.org/10.1136/bmjopen-2017-018479 |