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Infectious Diseases in Obstetrics and Gynecology
Volume 2009, Article ID 827405, 6 pages
http://dx.doi.org/10.1155/2009/827405
Research Article

Postoperative Infectious Morbidities of Cesarean Delivery in Human Immunodeficiency Virus-Infected Women

Tulane Health Sciences Center, Tulane University School of Medicine, New Orleans, LA 70112, USA

Received 29 May 2008; Accepted 3 March 2009

Academic Editor: Grace John-Stewart

Copyright © 2009 Helen Cavasin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To compare the infectious complication rates from cesarean delivery of human immunodeficiency virus (HIV)-infected women and HIV-negative women. Materials and Methods. A retrospective analysis was performed on data derived from HIV-infected women and HIV-negative women, who underwent cesarean delivery at two teaching hospitals. Main outcome measures were infectious postoperative morbidity. Descriptive, comparison analysis, and multiple logistic regression analysis were performed. Results. One hundred and nineteen HIV-infected women and 264 HIV-negative women delivered by cesarean section and were compared. The HIV-negative women were more likely than the HIV-infected women to deliver by emergent cesarean section (78.0% versus 51.3%, resp., 𝑃 < . 0 5 ), to labor prior to delivery (69.4% versus 48.3%, resp., 𝑃 < . 0 1 ), and to have ruptured membranes prior to delivery (63.5% versus 34.8%, resp., 𝑃 < . 0 5 ). In bivariate analysis, HIV-infected and HIV-negative women had similar rates of post-operative infectious complications (16.8% versus 19.7%, resp., 𝑃 > . 0 5 ). In a multivariate stepwise logistic analysis, emergent cesarean delivery and chorioamnionitis but not HIV infection were associated with increased rate of post-operative endometritis (odds ratio (OR) 4.10, 95% confidence interval (95% CI) 1.41–11.91, 𝑃 < . 0 1 , and OR 3.02, 95% CI 1.13–8.03, 𝑃 < . 0 5 , resp.). Conclusion. In our facilities, emergent cesarean delivery and chorioamnionitis but not HIV infection were identified as risk factors for post-operative endometritis.