An analysis on risk factors and complications of puerperal sepsis in rural area - A retrospective study
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 8
Abstract
Objective: To determine the risk factors and complications of puerperal sepsis. Study Design: Observational retrospective study. Place and duration of study: National Institute of Medical Sciences and Hospital, Jaipur from June 2014 to June 2015. Patients and Methods: This is an observational retrospective study done in Department of obstetrics and gynaecology. During this study period all the women who were delivered in the hospital or referred to this hospital within 42 days after delivery with puerperal pyrexia/sepsis, diagnosed on clinical examination as well as with relevant investigations included in the study. Women with other ailments like malaria, typhoid fever and postpartum eclampsia were excluded. The data was collected and analyzed. Results: During this period there were 3600 obstetrical admissions and out of these 100 women had puerperal sepsis. Out of these patients 66 (66%) were of age 31 years and above, 78 (78%) multiparous and 76 (76%) unbooked cases. The common risk factors found were, absent membranes in 84 (84%) patients, delivered or undelivered and mismanaged referred cases 76 (76%). 53 (53%) Patients are being delivered in the hospital. Morbidities seen were septicemia in 40 (40%), Thromboflebitis in 9 (9%) and disseminated intravascular coagulation in 4 (4%), while 2 (2%) women died due to complications. Conclusion: The main risk factors of puerperal sepsis were poor personal hygiene and improper sterilization and anaemia, which causes septicemia, thromboflebitis, disseminated intravascular coagulation and death. It showed that the management of puerperal sepsis required to involve a multidisciplinary collaboration for a better prognosis.
Authors and Affiliations
Pahula Verma
Keywords
Related Articles
- EP ID EP207569
- DOI -
- Views 101
- Downloads 0
A rare case of lymphangioliomyomatosis with recurrent pneumothoracis
We are reporting a rare and an interesting case of lymphangioliomyomatosis in a middle aged woman with past history of bilateral pneumothacis, who presented with complaints of right sided chest pain and suden onset of br...
A study to compare the physiological effect of aging on respiratory functions in sedentary individuals to the professional swimmers
Background: Pulmonary function tests are of significance in assessing the functional status of lungs in different age groups exposed to varied conditions of physical activity and to predict the clinical outcome. Aims: A...
A Newborn with Kasabach Merritt syndrome: A Case Report
Kasabach Merritt syndrome is an uncommon complication of large hemangioma in which there is thrombocytopenia and coagulopathy. We report a case of a newborn male baby 1 day old 2.5kg presented with large hemangioma on bo...
Assess the knowledge on peri operative nursing care among nursing students at selected college
Background: Surgery is a technology consisting of a physical intervention on tissues, and muscle. Surgical procedures are commonly categorized by urgency, type of procedure, body system involved, degree of invasiveness,...
A prospective outpatient case control study of serum lipid profile in acne vulgaris patients
Background: Acne is one of the most common conditions seeking dermatological consultation. The relationship between blood lipids and acne is not widely reported.Objective:To study the total serum lipid profile in acne pa...