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. A woman who wishes to feed her baby formula milk should be taught. Risk factors and complications of puerperal sepsis at a. Pdf puerperal sepsis and its cause in patan hospital. In 2010 in new jersey, the global sepsis alliance penned what is now accepted by all parties as the best.
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. Pregnancy complications, infectious prevention and control. Existing definitions related to maternal sepsis may be confusing e. Postpartum group a streptococcus sepsis and maternal.
It is the third most common cause of maternal death worldwide as a result of child birth after haemorrhage and abortion. Even though multiple interventions were done to overcome. Puerperal sepsisstill a major threat for parturient. Confident interval 95 %, formula n z2pqe2, the sampling technique is simple random. 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.
Iugr is defined as fetus that fails to achieve his growth potential. Puerperal sepsis is one of the five leading causes of maternal mortality worldwide, and accounts for 15% of all maternal deaths. Dr l say whogfmeriamaneh postgraduate training course in reproductive health geneva 2004. Retrospective studies estimate that puerperal sepsis causes approximately 10% of maternal deaths in africa. Sepsis was the leading cause of direct maternal deaths in the 20068 triennium report of the centre for maternal and child enquiries uk cmace. 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. 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. Who recommendations for prevention and treatment of. Sepsis, defined as the condition arising when the host response to infection causes organ dysfunction in the host, remains a major killer. Improved obstetric care availability of wide antibiotic 8. 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. 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. 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. It is the third leading cause of direct maternal mortality in developing nations.
The most widely used definition and identification criteria for sepsis are based on consensus for adult patients. Level of knowledge, attitudes and practices of puerperal. Incidence of postpartum infection, outcomes and associated. 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. Responsible management of sepsis, severe infection.
Puerperal sepsis is one of the leading problems women can face following child birth. Includes web supplement titled who recommendations for prevention and treatment of maternal peripartum infections. There is marked decline in puerperal infection due to. Demographic details are described in table1, antenatal booking status was 0. Out of 302 patients with puerperal problems there were 92 patients with puerperal sepsis which makes 30. Puerperal sepsis is an infective condition in the mother following childbirth. It happens mainly after discharge in the 1st 24 h of parturition. To determine the risk factors and complications of puerperal sepsis. Puerperal infection morbidity affects 2 10% of patient. Puerperal sepsis is a common pregnancy related complication and is one of the leading causes of maternal.
Risk factors and complications of puerperal sepsis at a tertiary. Early detection and treatment of problem pregnancies to prevent progression to an emergency. Approximately 15 percent of women who do not breast feed develop postpartum fever from breast engorgement. 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. A puerperal or postpartum infection occurs when bacteria infect the uterus and surrounding areas after a woman gives birth. American journal of respiratory and critical care medicine. There is a paucity of recent prospective data on the incidence of postpartum infections and associated risk factors in subsaharan africa.
As discussed in chapter 36 maternal care during the. Puerperal sepsis definition of puerperal sepsis by. Specific interventions necessary to prevent and treat infections are well known and include good hand hygiene, antisepsis. Determinants of puerperal sepsis among post partum women.
Who technical consultation on postpartum and postnatal care. Signs and symptoms usually include a fever greater than 38. Puerperal sepsis is an infection of the genital tract, which occurs from rupture of. Puerperal sepsis is an infection which arises from bacterial invasion of the genital organs during puerperial period. The estimated minimum sample size of 128 was calculated using kish lisle formula, considering 9. Other causes of puerperal fever include breast engorgement, urinary infections, episiotomy and abdominal incisions, perineal lacerations, and respiratory complications after cesarean delivery maharaj, 2007. The o2 content of blood is then given by this equation. Determinants of puerperal sepsis among post partum women at. The sample size was estimated using a double population proportion formula. It usually occurs after the first 24 hours and within the. Puerperal infection is an infection of the genital tract which occurs as a complication of delivery. Pdf on jul 25, 2016, tanjila taskin and others published sociodemographic factors.
Sepsis in obstetrics bja education oxford academic. Laboratory confirmed puerperal sepsis in a national referral hospital. Intrauterine growth restriction iugr is associated with perinatal morbidity and mortality. According to world health organization who estimates puerperal sepsis accounts for 15% of the 500000 maternal deaths annually. Postpartum sepsis an overview globally, puerperal infections cause morbidity in 510% of all pregnant women with over 75,000. Puerperal sepsis is an infection of the genital tract, which occurs from rupture of amniotic sacs and within 42ndday after delivery.