Burden of puerperal sepsis and associated factors among mothers attending maternity ward in Ishaka Adventist Hospital Bushenyi District
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Date
2017-07
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Kampala International University, School of Allied Health Sciences
Abstract
Puerperal sepsis is the infection of the genital tract occurring at any time between the onset of the rupture of membranes or labor and the 42nd day postpartum in which fever and one or more of the following are present: pelvic pain, abnormal vaginal discharge, abnormal odour of discharge, and delay in the rate of reduction of size of the uterus(WHO, 2008). It is a major cause of morbidity and mortality in most hospitals worldwide especially in developing world.
AIM; The study was carried out in Ishaka Adventist hospital with the aim of identifying burden of puerperal of puerperal sepsis and associated factors among among mothers in the post natal ward.
METHODS; A quantitative and qualitative cross sectional study was conducted where by the questionnaires was availed to Mothers in maternity ward to fill.
RESULTS; in the results, most mothers were age between 25-29 and married. Out 70 mothers who was interviewed, only 8 mothers was diagnosed with puerperal sepsis and the major risk factors was; home birth 39(55.7%), socio economic factors is.ie. No money 26(37.1%), inadequacy of food during pregnancy 49(70%) and repeated vaginal examination 43(61.4%). Majority of mothers (59%) also believed that puerperal sepsis can lead to a serious complication like infertility, fallopian tube blockage, chronic pelvic pain, acute morbidities and death and 41% don’t know.
CONCLUSION; majority of the respondents agreed that puerperal sepsis lead to the complication like chronic pelvic pain, infertility, acute morbidities, long term disabilities and the major risk factors was home delivery, inadequacy of food, socio economic factors and prolonged labor.
Health workers also agreed that management of puerperal sepsis involved a multidisciplinary approach to achieve a good outcome.
RECOMMENDATIONS; The following recommendations were put forward; encouraging mothers to deliver from the health facility, use of partograph by the health workers and further sstudies about the topic was also encouraged.
Description
A research dissertation submitted to the Faculty of Allied Health Science in partial fulfilment for the requirements of an award of Diploma In Clinical Medicine And Community Health of Kampala International University
Keywords
Puerperal sepsis, Associated factors, Mothers, Maternity ward, Ishaka Adventist Hospital, Bushenyi District