Septic dermatitis of the neonatal scalp and maternal endomyometritis with intrapartum internal fetal monitoring
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...
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| Veröffentlicht in: | Pediatrics (Evanston) 1984-07, Vol.74 (1), p.81-85 |
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| container_title | Pediatrics (Evanston) |
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| creator | WAGENER, M. M RYCHECK, R. R YEE, R. B MCVAY, J. F BUFFENMYER, C. L HARGER, J. H |
| description | 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. |
| doi_str_mv | 10.1542/peds.74.1.81 |
| format | Article |
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M ; RYCHECK, R. R ; YEE, R. B ; MCVAY, J. F ; BUFFENMYER, C. L ; HARGER, J. H</creator><creatorcontrib>WAGENER, M. M ; RYCHECK, R. R ; YEE, R. B ; MCVAY, J. F ; BUFFENMYER, C. L ; HARGER, J. H</creatorcontrib><description>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.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.74.1.81</identifier><identifier>PMID: 6739220</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: American Academy of Pediatrics</publisher><subject>Adult ; Biological and medical sciences ; Delivery. Postpartum. Lactation ; Electrodes ; Endometritis - etiology ; Female ; Fetal Monitoring - adverse effects ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Labor, Obstetric ; Medical sciences ; Middle Aged ; Obstetrical techniques ; Pregnancy ; Prospective Studies ; Puerperal Infection - etiology ; Risk ; Scalp Dermatoses - etiology ; Skin Diseases, Infectious - etiology ; Time Factors</subject><ispartof>Pediatrics (Evanston), 1984-07, Vol.74 (1), p.81-85</ispartof><rights>1985 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c315t-2468084bc41ff0ec20abf6a0d3de34a8a93596334a7ddd8499f65d2de52d75113</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9007798$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6739220$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WAGENER, M. 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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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Electrodes</subject><subject>Endometritis - etiology</subject><subject>Female</subject><subject>Fetal Monitoring - adverse effects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Labor, Obstetric</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Obstetrical techniques</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Puerperal Infection - etiology</subject><subject>Risk</subject><subject>Scalp Dermatoses - etiology</subject><subject>Skin Diseases, Infectious - etiology</subject><subject>Time Factors</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1r3DAQxUVoSbZpbr0GfCg51ZvRl2UdS0g_INBDkrPRWqNGwZZcSUvIf185u-Q0j3m_eTCPkC8UtlQKdr2gzVsltnTb0xOyoaD7VjAlP5ANAKetAJBn5FPOzwAgpGKn5LRTXDMGGxLvcSl-bCym2RRffG6ia8oTNgFjMMVMTR7NtDQm2KYSmEJdYbBxfo0zlvR28uLLU-NDSWYxqeznVR9Ih2vEHIMvMfnw9zP56MyU8eI4z8njj9uHm1_t3Z-fv2--37Ujp7K0THQ99GI3Cuoc4MjA7FxnwHKLXJjeaC51x6tU1tpeaO06aZlFyaySlPJzcnXIXVL8t8dchtnnEafJ1L_2eegrI5lmFfx2AMcUc07ohiX52aTXgcKw9jus_Q5KDLQeVfzymLvfzWjf4WOh1f969M3am0smjD6_YxpAKd3z_wBQhg0</recordid><startdate>198407</startdate><enddate>198407</enddate><creator>WAGENER, M. 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Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Labor, Obstetric</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Obstetrical techniques</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Puerperal Infection - etiology</topic><topic>Risk</topic><topic>Scalp Dermatoses - etiology</topic><topic>Skin Diseases, Infectious - etiology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>WAGENER, M. M</creatorcontrib><creatorcontrib>RYCHECK, R. R</creatorcontrib><creatorcontrib>YEE, R. B</creatorcontrib><creatorcontrib>MCVAY, J. F</creatorcontrib><creatorcontrib>BUFFENMYER, C. L</creatorcontrib><creatorcontrib>HARGER, J. 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H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Septic dermatitis of the neonatal scalp and maternal endomyometritis with intrapartum internal fetal monitoring</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>1984-07</date><risdate>1984</risdate><volume>74</volume><issue>1</issue><spage>81</spage><epage>85</epage><pages>81-85</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><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.</abstract><cop>Elk Grove Village, IL</cop><pub>American Academy of Pediatrics</pub><pmid>6739220</pmid><doi>10.1542/peds.74.1.81</doi><tpages>5</tpages></addata></record> |
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| ispartof | Pediatrics (Evanston), 1984-07, Vol.74 (1), p.81-85 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Biological and medical sciences Delivery. Postpartum. Lactation Electrodes Endometritis - etiology Female Fetal Monitoring - adverse effects Gynecology. Andrology. Obstetrics Humans Infant, Newborn Labor, Obstetric Medical sciences Middle Aged Obstetrical techniques Pregnancy Prospective Studies Puerperal Infection - etiology Risk Scalp Dermatoses - etiology Skin Diseases, Infectious - etiology Time Factors |
| title | Septic dermatitis of the neonatal scalp and maternal endomyometritis with intrapartum internal fetal monitoring |
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