       Document 1180
 DOCN  M9591180
 TI    A case-control study on post-caesarean endometritis-myometritis in
       Mozambique.
 DT    9509
 AU    Libombo A; Folgosa E; Bergstrom S; Department of Obstetrics and
       Gynaecology, Central Hospital,; Maputo, Mozambique.
 SO    Gynecol Obstet Invest. 1995;39(3):180-5. Unique Identifier : AIDSLINE
       MED/95309831
 AB    Post-caesarean endometritis-myometritis (PCEM) was diagnosed in 49
       Mozambican women. They were compared with 47 control women without signs
       of PCEM after caesarean section. The patients and controls were matched
       for age, parity and days post partum. Features of the socio-economic
       background and of past and current obstetric history were registered.
       Endocervical, intracavitary and blood cultures were carried out.
       Screening for syphilis seropositivity and HIV-1 and HIV-2 antibodies was
       performed. Socio-economic and obstetric background factors were
       similarly distributed in cases and referents, though previous caesarean
       section was less frequent among cases than among referents (OR 0.12).
       Moderate high-risk factors in existing antenatal card tended to be more
       frequent among cases than among referents (OR 3.29). Microbiological
       findings indicated more anaerobes in the vagina, in the endocervix and
       in the uterine cavity, though the differences only approached
       significance. It is concluded that women with PCEM in the setting
       studied expose few characteristic background features discriminating
       them from women with uneventful post-caesarean outcome. Further research
       efforts should be directed towards case-control studies with focus upon
       surgical factors and on a more comprehensive microbiology and serology
       approach.
 DE    Case-Control Studies  Cesarean Section/*ADVERSE EFFECTS  Chlamydia
       trachomatis/ISOLATION & PURIF
       Endometritis/EPIDEMIOLOGY/*ETIOLOGY/MICROBIOLOGY  Female  Human
       Mozambique  Myometrium  Postoperative Complications  Pregnancy
       Socioeconomic Factors  Uterus/MICROBIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

