Table 4 Diagnosis and initial management at tertiary center (CHUK)
From: Maternal near miss and mortality due to postpartum infection: a cross-sectional analysis from Rwanda
Obstetric patients (N = 117) | ||
|---|---|---|
Variable | Number (percentage) | Severe morbidity or mortality |
Diagnosis at tertiary center | p < 0.01 | |
Peritonitis | 66 (56 %) | 62 (94 %) |
Wound infection | 20 (17 %) | 12 (60 %) |
Endometritis | 18 (15 %) | 7 (39 %) |
Parietal infection | 4 (3 %) | 2 (50 %) |
Hemoperitoneum | 2 (2 %) | 2 (100 %) |
Necrotizing fasciitis | 2 (2 %) | 1 (50 %) |
Uterine dehiscence | 2 (2 %) | 2 (100 %) |
Foreign body | 1 (1 %) | 1 (100 %) |
Retained placenta | 1 (1 %) | 0 (0 %) |
Tubo-ovarian abscess | 1 (1 %) | 1 (100 %) |
Initial management at tertiary center | p < 0.01 | |
Exploratory laparotomy with washout | 56 (48 %) | 51 (91 %) |
Non-surgical management | 33 (28 %) | 12 (36 %) |
Exploratory laparotomy with subtotal hysterectomy | 26 (22 %) | 26 (100 %) |
Other surgical management | 2 (1 %) | 0 (0 %) |
Debridement only | 1 (1 %) | 1 (100 %) |