{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T12:50:42Z","timestamp":1782737442842,"version":"3.54.5"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,5,21]],"date-time":"2020-05-21T00:00:00Z","timestamp":1590019200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Institute of Economics, Finance and Management, Faculty of Management and Social Communication, Jagiellonian University"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The article analyzes hospitalizations of women in the postpartum period in the Ma\u0142opolska Province. Re-hospitalization of women as a result of puerperal complications may be used as an infection control quality measure in this patient population.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>It was a population-based, retrospective analysis using data obtained from the Polish National Health Fund (paying for medical services, financed by all Polish employees contributing 9% of their salaries), collected routinely in 2013\u201314. The analysis encompassed 29 hospitals and 68\u2002894 childbirths.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In total, 1.7% of women were re-hospitalized and 563 of these re-hospitalizations (0.8%) were due to infection. Re-hospitalizations due to infections were significantly more often recorded among women who lived in villages compared with inhabitants of towns (OR 1.6, 95% CI 1.23\u20131.98; P\u2009&amp;lt;\u20090.001) and in women giving birth in primary referral hospitals in comparison with the second referral or clinical hospitals (OR 2.8, 95% CI 1.69\u20134.65; P\u2009&amp;lt;\u20090.001). On the one hand, the results of the study indicate that, in patients giving birth, the infection control system is not sensitive enough, and on the other hand, more detailed studies need to cover primary referral hospitals, specifically.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The problem of the infection-associated hospitalizations in the postpartum period is not reliably assessed by infection control professionals and constitutes a challenge for surveillance, including prevention and control. Complications associated with childbirth should be an indication of the quality of healthcare provision and knowledge of the scale of the problem should be the basis for its evaluation and prevention. This is especially true for infections in puerperas.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurpub\/ckaa080","type":"journal-article","created":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T11:09:20Z","timestamp":1586344160000},"page":"739-743","source":"Crossref","is-referenced-by-count":3,"title":["Infection-associated hospitalizations of women in labour"],"prefix":"10.1093","volume":"30","author":[{"given":"Katarzyna","family":"Kope\u0107-Godlewska","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnieszka","family":"Pac","sequence":"additional","affiliation":[{"name":"Chair of Epidemiology and Preventive Medicine, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"R\u00f3\u017ca\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142","family":"\u017bbikowski","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerzy","family":"Rosi\u0144ski","sequence":"additional","affiliation":[{"name":"Institute of Economics, Finance and Management, Faculty of Management and Social Communication, Jagiellonian University, Krakow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0756-1639","authenticated-orcid":false,"given":"Jadwiga","family":"Wojkowska-Mach","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,5,21]]},"reference":[{"key":"2020082418074425400_ckaa080-B1","doi-asserted-by":"crossref","first-page":"423","DOI":"10.15585\/mmwr.mm6818e1","article-title":"Vital signs: pregnancy-related deaths, United States, 2011\u20132015, and strategies for prevention, 13 states, 2013-2017","volume":"68","author":"Petersen","year":"2019","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2020082418074425400_ckaa080-B2","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1213\/ANE.0b013e3182a009c3","article-title":"Maternal sepsis mortality and morbidity during hospitalization for delivery: temporal trends and independent associations for severe sepsis","volume":"117","author":"Bauer","year":"2013","journal-title":"Anesth Analg"},{"key":"2020082418074425400_ckaa080-B3","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1016\/S0140-6736(18)31930-5","article-title":"Short-term and long-term effects of caesarean section on the health of women and children","volume":"392","author":"Sandall","year":"2018","journal-title":"Lancet"},{"key":"2020082418074425400_ckaa080-B4","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.ejogrb.2019.02.023","article-title":"Unintentional transvesical caesarean section: incidence, risk factors, surgical technique and post-operative management","volume":"236","author":"Franchi","year":"2019","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2020082418074425400_ckaa080-B5","doi-asserted-by":"crossref","first-page":"e176","DOI":"10.1016\/S2214-109X(13)70059-7","article-title":"Ending preventable maternal deaths: the time is now","volume":"1","author":"Bustreo","year":"2013","journal-title":"Lancet Glob Health"},{"key":"2020082418074425400_ckaa080-B6","year":"2018"},{"key":"2020082418074425400_ckaa080-B7","first-page":"536","article-title":"Hospital-acquired infections after caesarean delivery in selected hospitals in the southern Poland","volume":"79","author":"W\u00f3jkowska-Mach","year":"2008","journal-title":"Ginekol Pol"},{"key":"2020082418074425400_ckaa080-B8","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1093\/jac\/dkx369","article-title":"Outpatient post-partum antibiotic prescription: method of identification of infection control areas demanding improvements and verification of sensitivity of infection registration","volume":"73","author":"R\u00f3\u017ca\u0144ska","year":"2018","journal-title":"J Antimicrob Chemother"},{"key":"2020082418074425400_ckaa080-B9","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.ajic.2017.07.025","article-title":"Does surgical site infection after Caesarean section in Polish hospitals reflect high-quality patient care or poor postdischarge surveillance? 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