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 60
- Downloads 0
A dozen human pieces – case report on a gruesome murder
The case material consisted of 12 (twelve) unidentified human body parts received in 2 lots under 2 different reference numbers on different dates. The first lot consisted of 4 human body parts and the second lot consist...
Cerebral venous sinus thrombosis in young alcoholic males
Although a rare cause of stroke, cerebral venous sinus thrombosis (CVT) is associated with significant morbidity and can be a diagnostic challenge. We present a report of four such patients who presented to our departmen...
Comparison of diclofenac suppository with tramadol suppository for post operative analgesia in abdominal hysterectomy patients
Background: Post-op pain management is these days considered as the fifth vital sign in addition to temperature, pulse, respiratory rate, blood pressure. Various drugs are used to control the post op pain namely NSAID’s,...
Study of clinical features and associated factors in newborn with polycythemia with high risk antenatal and natal factors
Introduction: Various risk factors such as birth asphyxia, toxemias of pregnancy (preeclampsia /eclampsia), twin pregnancies, hypertension, postmaturity, suspected intrauterine growth retardation, maternal diabetes etc h...
A study of pattern VEP in amblyopic children during the course of their therapy
Purpose: To find out the usefulness of Pattern VEP in monitoring the progress of Therapy in amblyopic children and also to ascertain the role of Pattern VEP (obtained at the time of initial diagnosis) in estimating the e...