Faculty Collaboration Database

Safety of peripherally inserted central catheters during pregnancy: a retrospective study. J Matern Fetal Neonatal Med 2018 May;31(9):1166-1170

Date

04/18/2017

Pubmed ID

28413891

DOI

10.1080/14767058.2017.1311314

Scopus ID

2-s2.0-85017506716 (requires institutional sign-in at Scopus site)   13 Citations

Abstract

PURPOSE: We investigated the incidence of complications associated with peripherally inserted central line catheters, inserted using a standardized technique, during pregnancy and the postpartum period.

MATERIALS AND METHODS: A retrospective case series was performed that included all pregnant and postpartum women who received peripherally inserted central catheters (PICCs) at a single institution between 2006 and 2014. Patient demographics and data on infectious, mechanical and thrombotic complications were collected. Some patients required more than one line insertion during the same pregnancy. In these instances, only the first line placement for each subject was included in the analysis of complications.

RESULTS: One hundred and forty-six catheters were inserted in 112 pregnant and postpartum patients. The total incidence of complications was 17% (19/112). Specific complications included infection (n = 4, 3.6%), mechanical (n = 5, 4.4%), deep venous thrombosis (n = 2, 1.8%) and other (n = 8, 7.1%). Demographics of the complication and no complication groups were similar.

CONCLUSIONS: In contrast with previous studies, we report a complication rate associated with peripheral line use in pregnant and postpartum women that appears similar to that in non-pregnant populations.

Author List

Jacques L, Foeller M, Farez R, Kaljo K, Nugent M, Simpson P, Klatt T

Authors

Rahmouna Leila Farez MD Associate Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin
Timothy E. Klatt MD Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin
Pippa M. Simpson PhD Adjunct Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Catheter-Related Infections
Catheterization, Peripheral
Central Venous Catheters
Female
Humans
Postpartum Period
Pregnancy
Pregnancy Complications
Pregnancy Complications, Infectious
Puerperal Disorders
Puerperal Infection
Retrospective Studies
Risk Factors
Venous Thrombosis