Rehu M, Nilsson C G, Haukkamaa M
Ann Clin Res. 1980 Jun;12(3):112-5.
The rate of significant bacteriuria in the puerperium was studied prospectively in 3554 women who were delivered at the State Maternity Hospital. The influence of catheterisation during labour and before Caesarean section, urinary tract infection during pregnancy, puerperal endometritis and impaired glucose metabolism on the rate of significant postpartum bacteriuria was studied. Catheterisation significantly increased the rate of significant bacteriuria in patients who were delivered vaginally. A single catheterisation before Caesarean section did not increase the incidence of significant bacteriuria in comparison with the incidence of patients not catheterised before surgery. Patients with urinary tract infection diagnosed during pregnancy are at risk of developing significant postpartum bacteriuria. Patients with postpartum endometritis had twice the rate of significant bacteriuria than patients not developing postpartum endometritis, but the difference was not statistically significant. The presence of impaired glucose metabolism did not affect the rate of significant postpartum bacteriuria.
对在国立妇产医院分娩的3554名妇女进行了前瞻性研究，以探讨产褥期显著菌尿的发生率。研究了分娩期间及剖宫产术前导尿、孕期尿路感染、产褥期子宫内膜炎和糖代谢受损对产后显著菌尿发生率的影响。导尿显著增加了经阴道分娩患者的显著菌尿发生率。与术前未导尿的患者相比，剖宫产术前单次导尿并未增加显著菌尿的发生率。孕期诊断为尿路感染的患者有发生产后显著菌尿的风险。患有产后子宫内膜炎的患者显著菌尿发生率是未发生产后子宫内膜炎患者的两倍，但差异无统计学意义。糖代谢受损的存在并不影响产后显著菌尿的发生率。
