Back to Search
Start Over
Do maternal albumin levels affect post-operative complications after cesarean delivery?
- Source :
-
BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2022 Dec 06; Vol. 22 (1), pp. 909. Date of Electronic Publication: 2022 Dec 06. - Publication Year :
- 2022
-
Abstract
- Background: This study explored the correlation between maternal serum albumin levels prior to elective cesarean delivery (CD) and postoperative complications.<br />Methods: This retrospective cohort study included women admitted for elective CD at term to our tertiary referral center, during the years 2016-2018. Blood samples were collected during the preoperative admission. Information collected included maternal demographics, pregnancy and postoperative complications. Data between patients with preoperative serum albumin levels < 3.3 g/dL or ≥ 3.3 g/dL were compared.<br />Results: Among 796 women admitted for an elective CD, 537 met the inclusion criteria. There were 250 (46.6%) women in the low albumin level group (< 3.3 g/dL) and 287 (53.4%) with serum albumin level ≥ 3.3 g/dL. Patients with serum albumin ≥ 3.3 g/dL had increased rates of surgical site infection (SSI) (5.6% vs. 1.6% respectively; p = 0.02), need for antibiotics during the post-partum period (10.8% vs 3.2%, respectively; p = 0.001), surgical intervention (2.1% vs. 0%, respectively; p = 0.03) and higher rate of rehospitalization (5.2% vs. 0.4%, respectively; p = 0.001). Multivariant analysis showed that albumin level ≥ 3.3 g/dL was independently associated with composite postoperative adverse maternal outcome.<br />Conclusions: High serum albumin levels among women undergoing CD, might be associated with abnormal postoperative outcomes. Larger prospective studies, with a heterogenous population are needed to validate these observations.<br /> (© 2022. The Author(s).)
Details
- Language :
- English
- ISSN :
- 1471-2393
- Volume :
- 22
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC pregnancy and childbirth
- Publication Type :
- Academic Journal
- Accession number :
- 36474218
- Full Text :
- https://doi.org/10.1186/s12884-022-05215-8