Risk factors for postoperative ileus after cesarean delivery

医学 子宫切开术 肠梗阻 体质指数 入射(几何) 病例对照研究 剖宫产 风险因素 外科 回顾性队列研究 人口 怀孕 麻醉 产科 妊娠期 内科学 物理 光学 环境卫生 生物 遗传学
作者
Ruth B. Hennebery,Christine A. Burke,Tracy Caroline Bank,Matthew Hoffman
出处
期刊:American Journal Of Obstetrics & Gynecology Mfm [Elsevier]
卷期号:4 (6): 100713-100713 被引量:4
标识
DOI:10.1016/j.ajogmf.2022.100713
摘要

Despite extensive data regarding risk factors for postoperative ileus in the general and colorectal surgery literature, few studies have identified risk factors specific to the obstetrical population.This study aimed to identify factors associated with postoperative ileus following cesarean delivery.This retrospective case-control study identified women who underwent cesarean delivery at a single hospital between January 2000 and January 2020 and subsequently developed postoperative ileus. Cases were matched in a 1:2 ratio with controls who underwent cesarean delivery and did not develop postoperative ileus. They were matched by age (±1 year) and body mass index (±1 kg/m2). Demographics, common comorbidities, obstetrical history, and delivery characteristics were analyzed.A total of 147 cases and 294 controls were identified. Cases and controls were similar in terms of parity, number of previous cesarean deliveries, labor preceding their cesarean delivery, incidence of chorioamnionitis, and presurgical diagnosis of hypothyroidism or chronic hypertension. Cases tended to have a diagnosis of preeclampsia (cases 23.1% vs controls 10.5%; P<.001) and were more likely to have been exposed to magnesium sulfate (cases 34.0% vs controls 15.0%; P<.001). Surgical considerations that were common in cases were exposure to general anesthesia (cases 37.4% vs controls 4.1%; P<.001), midline vertical skin incisions (cases 13.6% vs controls 1.4%; P<.001), classical hysterotomy (cases 8.8% vs controls 1.7%; P=.001), estimated blood loss >1000 mL (cases 44.4% vs controls 11.6%; P<.001), transfusion of blood products (cases 25.8% vs controls 2.0%; P<.001), and hysterectomy at the time of cesarean delivery (cases 6.1% vs controls 0.7%; P=.001). After a multivariable modeling using stepwise logistic regression of all variables found to be statistically significant, transfusion of blood products, estimated blood loss >1000 mL, and exposure to general anesthesia were the remaining surgical factors associated with the development of ileus. These variables reflect both the complexity and most likely the duration of surgery that was required, although we note that we did not have operative time as a variable to explore. Preeclampsia was also identified as a comorbidity linked to the development of ileus.A diagnosis of preeclampsia, exposure to general anesthesia, estimated blood loss >1 L, and transfusion of blood products were identified as potential risk factors for postcesarean ileus.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
卷卷完成签到 ,获得积分10
13秒前
苏州九龙小7完成签到 ,获得积分10
13秒前
jojo665完成签到 ,获得积分10
15秒前
thangxtz完成签到,获得积分10
21秒前
哥哥发布了新的文献求助10
22秒前
干净思远完成签到,获得积分10
24秒前
大气建辉完成签到 ,获得积分10
29秒前
guoxihan完成签到,获得积分10
34秒前
火山完成签到 ,获得积分10
37秒前
44秒前
yuyang发布了新的文献求助10
49秒前
52秒前
追梦人2016完成签到 ,获得积分10
54秒前
森淼完成签到 ,获得积分10
55秒前
bkagyin应助cfd采纳,获得10
56秒前
榆木小鸟完成签到 ,获得积分10
57秒前
逢场作戱__完成签到 ,获得积分10
1分钟前
研友_8K2QJZ完成签到,获得积分10
1分钟前
wjswift完成签到,获得积分10
1分钟前
橘子海完成签到 ,获得积分10
1分钟前
btcat完成签到,获得积分10
1分钟前
yuyang完成签到,获得积分10
1分钟前
fogsea完成签到,获得积分0
1分钟前
nianshu完成签到 ,获得积分10
1分钟前
sydhwo完成签到 ,获得积分10
1分钟前
在水一方应助孙伟健采纳,获得10
1分钟前
1分钟前
温如军完成签到 ,获得积分10
1分钟前
孙伟健发布了新的文献求助10
1分钟前
1分钟前
孙伟健完成签到,获得积分10
1分钟前
Roy完成签到,获得积分10
1分钟前
Cold-Drink-Shop完成签到,获得积分10
1分钟前
1分钟前
cfd发布了新的文献求助10
1分钟前
子平完成签到 ,获得积分10
2分钟前
甜蜜的代容完成签到,获得积分10
2分钟前
2分钟前
路过完成签到 ,获得积分10
2分钟前
感动依霜完成签到 ,获得积分10
2分钟前
高分求助中
The late Devonian Standard Conodont Zonation 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 1000
Smart but Scattered: The Revolutionary Executive Skills Approach to Helping Kids Reach Their Potential (第二版) 1000
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3244791
求助须知:如何正确求助?哪些是违规求助? 2888424
关于积分的说明 8252919
捐赠科研通 2556928
什么是DOI,文献DOI怎么找? 1385502
科研通“疑难数据库(出版商)”最低求助积分说明 650176
邀请新用户注册赠送积分活动 626303