Factors influencing puerperal sepsis among mothers attending Pallia Hospital Maternity Ward

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Puerperal sepsis is serious form of septicemia contracted by women during or soon after child birth or miscarriage. Globally it’s documented that the first recorded epidemic of puerperal fever occurred at the Hotel-Dieude Paris in 1646. Hospitals throughout Europe and America consistently reported death rates of 20% to 25%. During 18th and 19th centuries, it was the single most common cause of maternal mortality, accounting for about half of all deaths related to child birth. However, things have remained the same in developing countries of Africa for last 160 years. The purpose of this study was to compile a report regarding the factors influencing puerperal sepsis in Pallisa Hospital maternity ward. A hospital-based descriptive-correlation study design was used. This study was conducted in Pallisa hospital located in Pallisa district. The study population focused on women of reproductive age (15-49) who delivered and within six weeks after delivery, they are being treated in the Hospital for puerperal sepsis. Hospital based factors illustrated a significant contribution to puerperal sepsis. These of all the rest included; vaginal examination more than six times (27.1%), unassisted vaginal deliveries(73%), prolonged time to deliver after rapture of membranes (54%), prolonged labor was the most affected with (48%). Sensitization on life style including; hygiene after delivery is very paramount. This should be based from the community level as part of PHC in relation to health. This should be the work of the local council communities, church leaders, and family members
A dissertation submitted to the Faculty of Allied Health Sciences in partial fulfillment of the award of diploma in clinical medicine and community health at Kampala International University Western Campus
Puerperal sepsis, Mothers, Pallisa Hospital, Maternity Ward