FREQUENCY AND RISK FACTORS ASSOCIATED WITH PUERPERAL SEPSIS IN WOMEN DELIVERED IN KHALIFA GULNAWAZ TEACHING HOSPITAL BANNU

Main Article Content

Zubaida Khanum
Bushra Nabi
Hina Khan
Syed Muhammad Raza

Keywords

puerperal sepsis, risk factors, anemia, prolonged labor

Abstract

Introduction: Worldwide complications related to pregnancy and childbirth is a major public health concern. Approximately 60% of these maternal deaths occur either during delivery or early postpartum period. One death occurs every 40 minutes in Pakistan during pregnancy or in postpartum period due to complications.


Objective: To determine the frequency and risk factors associated with puerperal sepsis in women delivered in Khalifa Gulnawaz Teaching Hospital, Bannu.


Study design: Descriptive, Cross-sectional


Study setting: Gynecological department, Khalifa Gulnawaz Teaching Hospital Bannu.


Study duration: 09 January 2023 to 09 June 2023.


Subject and methods: This study was conducted on 165 patients in having age range 18-40 Years visiting within 42 days after delivery either diagnosed with puerperal pyrexia on clinical examination and relevant investigations. The frequency and risk factors associated with puerperal sepsis was determined


Results: This study was conducted on 165 patients. The mean age of the patients was 29.47±6.44 years. The frequency of puerperal sepsis in our study was 18 (10.9%). According to the risk factors associated with puerperal sepsis, anemia was 15 (83.3%), prolonged rupture of membranes was 16 (88.9%) and prolonged labor was 3 (16.7%).


Conclusion: From our study we conclude that the frequency of puerperal sepsis in women delivered in Khalifa Gulnawaz Teaching Hospital Bannu, was 18 (10.9%), the risk factors associated with puerperal sepsis were anemia 15 (83.3%), prolonged rupture of membranes 16 (88.9%) and prolonged labor 3 (16.7%).

Abstract 90 | pdf Downloads 15

References

1. Dadi AF, Miller ER, Bisetegn TA, Mwanri L. Global burden of antenatal depression and its association with adverse birth outcomes: an umbrella review. Public Health. 2020;20(1):1-6.
2. Bakhtawar S, Sheikh S, Qureshi R, Hoodbhoy Z, Payne B, Azam I, et al. Risk factors for postpartum sepsis: a nested case-control study. Pregnancy Childbirth. 2020;20(1):1-7.
3. Admas A, Gelaw B, BelayTessema, Worku A, Melese A. Proportion of bacterial isolates, their antimicrobial susceptibility profile and factors associated with puerperal sepsis among post-partum/aborted women at a referral Hospital in Bahir Dar, Northwest Ethiopia. Antimicrob Resist Infect Control. 2020;9(1):14-19.
4. Nove A, Friberg IK, de Bernis L, McConville F, Moran AC, Najjemba M, et al. Potential impact of midwives in preventing and reducing maternal and neonatal mortality and stillbirths. Lancet. 2021;9(1):24-32.
5. Demisse GA, Sifer SD, Kedir B, Fekene DB, Bulto GA. Determinants of puerperal sepsis among post partum women at public hospitals in west SHOA zone Oromia regional STATE, Ethiopia. Pregnancy Childbirth. 2019;19(1):95-97.
6. Kaur J, Ray S. Effect of live demonstration on practices of ANM regarding identification and management of mothers for puerperal infection during postnatal period. J Datta Meghe Inst Med Sci. 2020;15(1):58-67.
7. Arulkumaran N, Singer M. Puerperal sepsis. Best Pract Res Clin Obstet Gynaecol. 2013;27(6):893-902.
8. Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death. Lancet. 2006;367(16):1066-74.
9. Acosta CD, Knight M, Lee HC, Kurinczuk JJ, Gould JB, Lyndon A. The continuum of maternal sepsis severity: incidence and risk factors in a population-based cohort study. PLoS One. 2013;8(7):e67175.
10. Shatry NA, Vogel JP, Lubano K, Jaldesa G. Prevalence and risk factors for puerperal sepsis at the pumwani maternity hospital. J obstet Gynaecol East Cent Afr. 2020;32(2):35-41.
11. Twickler DM, Setiawan AT, Evans RS, et al. Imaging of puerperal septic thrombophlebitis: prospective comparison of MR imaging, CT, and sonography. AJR Am J Roentgenol .2007.
12. Jahanfar S, Ng CJ, Teng CL. Antibiotics for mastitis in breastfeeding women. Cochrane Database Syst Rev. 2013.
13. Hooton TM, Roberts PL, et al. Voided midstream urine culture and acute cystitis in premenopausal women. N Engl J Med. 2013
14. Ross C, Arulkumaran S. Postpartum pyrexia. Obstet Gynaecol Reprod Med. 2018;28(6):177–82.
15. Yokoe DS, Christiansen CL, Johnson R, Sands KE, Livingston J, Shtatland ES, et al. Epidemiology of and surveillance for postpartum infections. Emerging Infect Dis. 2001;7(5):837–41.
16. Bebell LM, Ngonzi J, Siedner MJ, Muyindike WR, Bwana BM, Riley LE, et al. HIV Infection and risk of postpartum infection, complications and mortality in rural Uganda. AIDS Care. 2018;30(8):943–53.
17. Ramharter M, Grobusch MP, Kiessling G, Adegnika AA, Möller U, Agnandji STM, et al. Clinical and parasitological characteristics of puerperal malaria. J Infect Dis. 2005;191(6):1005–9.
18. Majangara R, Gidiri MF, Chirenje ZM. Microbiology and clinical outcomes of puerperal sepsis: a prospective cohort study. J Obstet Gynaecol. 2018;38(5):635–41.