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
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