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Determinants of puerperal sepsis among postpartum women: a case-control study in East Shoa Zone public hospitals, Central Ethiopia.
Oyato, Befekadu Tesfaye; Debele, Tirunesh; Edosa, Dejene; Abasimel, Husen Zakir; Awol, Mukemil; Kebede, Eleni Tesfaye; Gezahagn, Andualem; Desta, Adugna Alemu; Alemu, Fikadu Tolesa; Asfaw, Samuel Boja.
Afiliación
  • Oyato BT; Department of Midwifery, Salale University, Fitche, Oromia, Ethiopia befekadutes2016@gmail.com.
  • Debele T; Department of Midwifery, Salale University, Fitche, Oromia, Ethiopia.
  • Edosa D; Department of Midwifery, Salale University, Fitche, Oromia, Ethiopia.
  • Abasimel HZ; Department of Midwifery, Salale University, Fitche, Oromia, Ethiopia.
  • Awol M; Department of Midwifery, Salale University, Fitche, Oromia, Ethiopia.
  • Kebede ET; Department of Midwifery, Salale University, Fitche, Oromia, Ethiopia.
  • Gezahagn A; Department of Midwifery, Salale University, Fitche, Oromia, Ethiopia.
  • Desta AA; Department of Midwifery, Salale University, Fitche, Oromia, Ethiopia.
  • Alemu FT; Department of Midwifery, Salale University, Fitche, Oromia, Ethiopia.
  • Asfaw SB; Department of Midwifery, Salale University, Fitche, Oromia, Ethiopia.
BMJ Open ; 14(6): e083230, 2024 Jun 21.
Article en En | MEDLINE | ID: mdl-38908838
ABSTRACT

OBJECTIVE:

To identify determinants of puerperal sepsis among postpartum women attending East Shoa Zone public hospitals, Central Ethiopia, 2023. DESIGN AND

SETTING:

An institutional-based, unmatched case-control study was conducted from 19 June 2023 to 4 September 2023, in East Shoa Zone public hospitals.

PARTICIPANTS:

495 postpartum women (100 cases and 395 controls) were selected using systematic sampling techniques. Data were collected through face-to-face interviews and from medical charts using a pretested, structured questionnaire. The AOR with its corresponding 95% CI was used to identify determinant variables. Findings were presented in texts and tables. OUTCOME

MEASURES:

The medical charts of participants were reviewed to identify those who had developed puerperal sepsis.

RESULTS:

Anaemia (AOR 6.05; 95% CI 2.57 to 14.26), undernourishment (AOR 4.43; 95% CI 1.96 to 10.01), gestational diabetes mellitus (AOR 3.26; 95% CI 1.22 to 8.74), postpartum haemorrhage (AOR 3.17; 95% CI 1.28 to 7.87), obstructed labour (AOR 2.76; 95% CI 1.17 to 6.52), multiparity (AOR 2.54; 95% CI 1.17 to 5.50), placenta previa (AOR 2.27; 95% CI 1.11 to 4.67) and vaginal examination ≥5 times (AOR 2.19; 95% CI 1.05 to 4.54) were the independent determinants of puerperal sepsis in this study.

CONCLUSION:

This study found that gestational diabetes mellitus, anaemia, undernourishment, placenta previa, obstructed labour, postpartum haemorrhage and five or more per-vaginal examinations during labour were the determinants of puerperal sepsis. Therefore, it is recommended that obstetric care providers strictly adhere to guidelines on the number of vaginal exams that should be performed throughout labour and that they perform these exams using the appropriate infection-prevention techniques. In addition, they should provide comprehensive health education on nutrition during pregnancy and postnatal periods and the importance of iron supplements.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Puerperal / Sepsis / Hospitales Públicos Límite: Adolescent / Adult / Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Puerperal / Sepsis / Hospitales Públicos Límite: Adolescent / Adult / Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Reino Unido