Confident interval 95 %, formula n z2pqe2, the sampling technique is simple random. Pdf risk factors and complications of puerperal sepsis at a tertiary. Approximately 15 percent of women who do not breast feed develop postpartum fever from breast engorgement. Improved obstetric care availability of wide antibiotic 8. There is marked decline in puerperal infection due to. Dr l say whogfmeriamaneh postgraduate training course in reproductive health geneva 2004. The o2 content of blood is then given by this equation. Risk factors and complications of puerperal sepsis at a. Sepsis was the leading cause of direct maternal deaths in the 20068 triennium report of the centre for maternal and child enquiries uk cmace. Early detection and treatment of problem pregnancies to prevent progression to an emergency. Sepsis is one of the most important causes of maternal death in the uk, 3 and there is an 8% risk of mortality across hics.
Postpartum group a streptococcus sepsis and maternal. Who technical consultation on postpartum and postnatal care. Intrauterine growth restriction iugr is associated with perinatal morbidity and mortality. Puerperal sepsis is a common pregnancy related complication and is one of the leading causes of maternal. Signs and symptoms usually include a fever greater than 38. Puerperal sepsisstill a major threat for parturient. Puerperal infection is an infection of the genital tract which occurs as a complication of delivery. Existing definitions related to maternal sepsis may be confusing e. The puerperal sepsis pyrexia presents commonly with fever and other symptoms like pelvic pain, foul smelling vaginal discharge and delayed reduction of the uterine size. Specific interventions necessary to prevent and treat infections are well known and include good hand hygiene, antisepsis. Puerperal sepsis definition of puerperal sepsis by. Puerperal infection morbidity affects 2 10% of patient. The who defined puerperal sepsis in 1992 as an infection of the genital tract occurring at any time between the rupture of membranes or labour and the 42nd day post partum.
Pdf puerperal sepsis and its cause in patan hospital. As discussed in chapter 36 maternal care during the. Pdf on jul 25, 2016, tanjila taskin and others published sociodemographic factors. Puerperal sepsis is an infection of the genital tract, which occurs from rupture of. Puerperal sepsis is an infective condition in the mother following childbirth. A woman who wishes to feed her baby formula milk should be taught.
Retrospective studies estimate that puerperal sepsis causes approximately 10% of maternal deaths in africa. Postpartum sepsis an overview globally, puerperal infections cause morbidity in 510% of all pregnant women with over 75,000. There is a paucity of recent prospective data on the incidence of postpartum infections and associated risk factors in subsaharan africa. Laboratory confirmed puerperal sepsis in a national referral hospital. American journal of respiratory and critical care medicine. Pregnancy complications, infectious prevention and control.
Who recommendations for prevention and treatment of. Puerperal sepsis is one of the leading problems women can face following child birth. It happens mainly after discharge in the 1st 24 h of parturition. It usually occurs after the first 24 hours and within the.
Demographic details are described in table1, antenatal booking status was 0. The most widely used definition and identification criteria for sepsis are based on consensus for adult patients. Postpartum infections, also known as childbed fever and puerperal fever, are any bacterial infections of the female reproductive tract following childbirth or miscarriage. Puerperal sepsis is an infection of the genital tract, which occurs from rupture of amniotic sacs and within 42ndday after delivery. Incidence of postpartum infection, outcomes and associated. Includes web supplement titled who recommendations for prevention and treatment of maternal peripartum infections. It is the third leading cause of direct maternal mortality in developing nations. Even though multiple interventions were done to overcome. In 2010 in new jersey, the global sepsis alliance penned what is now accepted by all parties as the best. The knowledge was inadequate due to the low percentage of puerperal women able to mention at least three ways of transmission and three forms of preventing the virus. Other causes of puerperal fever include breast engorgement, urinary infections, episiotomy and abdominal incisions, perineal lacerations, and respiratory complications after cesarean delivery maharaj, 2007.
Management of puerperal sepsis sri lanka college of obstetrics and gynaecology health sector development project guidelines management of puerperal sepsis feverpurulent vaginal dischargepelvic pain very sick high fever, altered consciousness, rapid pulseassume critically ill. It is the third most common cause of maternal death worldwide as a result of child birth after haemorrhage and abortion. According to world health organization who estimates puerperal sepsis accounts for 15% of the 500000 maternal deaths annually. Sepsis in obstetrics bja education oxford academic. Puerperal sepsis still a major threat for parturient. Puerperal sepsis is one of the five leading causes of maternal mortality worldwide, and accounts for 15% of all maternal deaths. Puerperal sepsis is an infection which arises from bacterial invasion of the genital organs during puerperial period. Level of knowledge, attitudes and practices of puerperal. Sepsis, defined as the condition arising when the host response to infection causes organ dysfunction in the host, remains a major killer. Although overall maternal mortality has declined impressively as a result of implementing policies based on the recommendations of cmace, the number of deaths from sepsis. Risk factors and complications of puerperal sepsis at a tertiary. The sample size was estimated using a double population proportion formula. A puerperal or postpartum infection occurs when bacteria infect the uterus and surrounding areas after a woman gives birth.
Determinants of puerperal sepsis among post partum women. The objectives of the study was to assess the pre test and post test level of knowledge regarding puerperal sepsis among post natal mothers and to. Probably the most often quoted article on the epidemiology of sepsis is the 2001 publication by angus and colleagues, which used administrative data to estimate that there were 751,000 cases 3. We enrolled 4231 women presenting to a ugandan regional referral hospital for delivery or postpartum care into a. The global maternal sepsis study and awareness campaign. Determinants of puerperal sepsis among post partum women at. Because puerperal sepsis is the second most common cause of maternal death in papua new guinea some aspects of its aetiology and prevention have been investigated. Iugr is defined as fetus that fails to achieve his growth potential. Responsible management of sepsis, severe infection. The recently published third international consensus on sepsis sepsis 3 1517 proposed a standard definition and a set of identification criteria to identify adults with sepsis based on large databases, but excluded pregnant. The estimated minimum sample size of 128 was calculated using kish lisle formula, considering 9. Out of 302 patients with puerperal problems there were 92 patients with puerperal sepsis which makes 30. To determine the risk factors and complications of puerperal sepsis.
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