Assessment of factors contributing to puerperal sepsis among mothers attending the obstetrics and gynecology clinical services at Fort Portal Regional Referral Hospital
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Date
2018-09
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Kampala International University, School of Health Sciences
Abstract
The objective of this study was to assess the factors that predispose a mother to the development of puerperal sepsis, to determine the age group associated with the highest prevalence of puerperal sepsis and to find out the proportion of mothers that have ever contracted puerperal sepsis among those attending the obstetrics Ward at Fort Portal Regional Referral Hospital. This was a prospective study carried out at Fort Portal regional referral Hospital over a period 1 year. Mothers attending the obstetrics Ward including, delivery, admission and treatment for puerperal infections were assessed. Mothers attending other clinical services were excluded. The risk factors for puerperal sepsis were analyzed and the findings of the research were presented using tables, graphs and pie charts. A total of 18% of the respondents reported never to have suffered from any puerperal infection and only 82% reported to have ever had a fever and other signs of infection during the first 42 Days after delivery (puerperal infection).The 8.5%, of the mothers that reported that they had ever been diagnosed and treated for puerperal sepsis were analyzed, and the following results were got. Puerperal sepsis was seen commonest in young mothers of 26-55 years 60%(30) , peasant farmers 30% (15), low education level (primary level) 20% (10), married 90%, prolonged rupture of membranes >2 hours 40% (20), duration of labour >18 hours 34%(17)delivered from hospital 90% (, resumption of sexual intercourse within 0-3 weeks 46.7% (7),use of herbs as a means of hygiene during puerperium 53.3%(8). Puerperal sepsis is an important public health problem contributing to maternal morbidity and mortality. Majority of the predisposing factors are preventable. Optimal antiseptic measures and careful monitoring are needed throughout the process of labor
Description
A research report submitted to the Faculty of Clinical Medicine and Dentistry in partial fulfillment of the requirements for the award of a degree of Bachelor of Medicine and Bachelor of Surgery of Kampala International University
Keywords
Puerperal sepsis, Obstetrics and gynecology clinical services, Fort Portal Regional Referral Hospital