Septic dermatitis of the neonatal scalp and maternal endomyometritis with intrapartum internal fetal monitoring.

Abstract:

:During a 3-month period, 1,062 mother-infant pairs were studied for infections following internal fetal monitoring during labor. Six infants (0.56%) developed septic scalp dermatitis at the site of the spiral electrode application. Factors associated with septic scalp dermatitis included the number of vaginal examinations, the use of an intrauterine pressure catheter or of more than one spiral electrode, and fetal scalp blood sampling. Maternal diabetes and endomyometritis were also associated with an increased risk of scalp infection. The duration of spiral electrode use and duration of ruptured membranes were not significant risk factors. Endomyometritis was documented in 41 mothers, an overall incidence of 3.9%. In women whose babies were delivered by cesarean section, the incidence of endomyometritis was 28/117 (23.9%). Using multivariate analysis by logistic regression, endomyometritis was associated with the number of vaginal examinations during labor but not with the duration of internal monitoring, duration of labor, or duration of ruptured membranes.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Wagener MM,Rycheck RR,Yee RB,McVay JF,Buffenmyer CL,Harger JH

subject

Has Abstract

pub_date

1984-07-01 00:00:00

pages

81-5

issue

1

eissn

0031-4005

issn

1098-4275

journal_volume

74

pub_type

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