CONCLUSIONS: Severe maternal morbidity currently affects approximately 52,000 women during their delivery hospitalizations and, based on current trends, this burden is expected to increase. Clinical review of identified cases of severe maternal morbidity can provide an opportunity to identify points of intervention for quality improvement in maternal care. (Obstet Gynecol
2012; 120: 1029-36) DOI: http://10.1097/AOG.0b013e31826d60c5″
“Influence of the widely used food additive lecithin on the effectiveness of the inhibiting effect of the natural antioxidants (quercetin, dihydroquercetin, and alpha-tocopherol) has been studied in dependence on the rate of free radicals generation in the model oxidation reactions. It has been found that during the initiated and autoxidation of
methyl oleat, lecithin decreased the selleck chemicals llc antioxidant effectiveness of flavonoids. The effect value increased with the lecithin concentration increase. Under similar conditions while oxidation inhibiting by alpha-tocopherol and lecithin mixtures, the latter did not influence the selleck compound tocopherol antioxidant effectiveness (additivity) or led to the increase of the inhibition effectiveness (synergism).”
“OBJECTIVE: To estimate the incidence of surgical-site infection with use of chlorhexidine-alcohol compared with povidone-iodine among women undergoing cesarean deliveries.
METHODS: This was a retrospective cohort review of 1,000 consecutive cases in women who underwent cesarean delivery over a 1-year interval. The primary outcome was any surgical-site infection within 30 days (Centers for Disease Control and Prevention criterion).
RESULTS: Mean age and parity were equivalent (29.8+/-5.9 years; 2.6+/-1.4). Women were similar regarding baseline characteristics, including acknowledged surgical-site infection comorbidities (body mass index [BMI, calculated as weight (kg)/[height (m)](2)], gestational diabetes, smoking; P>.05). Method of skin incision closure was different, with 91% among povidine-iodine compared with 81% among chlorhexidine-alcohol
using staples BB-94 supplier (P<.001). Although the duration of surgical time was higher among chlorhexidine women (67.2 compared with 60.0 minutes; P<.001), fewer women in the chlorhexidine group were classified as having undergone an “”urgent”" cesarean delivery (29% compared with 46%; P<.001). Concerning surgical-site infection, the overall rate was similar between the two groups (5% [n=25] chlorhexidine and 5.8% [n=29] povidone-iodine; P=.58). In multivariable analysis and after control for potential confounders, odds for surgical-site infection remained similar between the two groups (adjusted odds ratio 0.74, 95% confidence interval 0.41-1.33; P=.32). The only significant predictor of surgical-site infection was duration of cesarean delivery, in which every 1-minute increase in duration increased the odds for infection by 1.3% (adjusted odds ratio 1.013, 95% CI 1.004-1.022; P=.004).