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. 2019 Mar 18;19(1):95.
doi: 10.1186/s12884-019-2230-x.

Determinants of puerperal sepsis among post partum women at public hospitals in west SHOA zone Oromia regional STATE, Ethiopia (institution BASEDCASE control study)

Getu Alemu Demisse  1 , Samuel Dessau Sifer  2 , Buseraseman Kedir  3 , Daniel Belema Fekene  4 , Gizachew Abdissa Bulto  4
Affiliations

Determinants of puerperal sepsis among post partum women at public hospitals in west SHOA zone Oromia regional STATE, Ethiopia (institution BASEDCASE control study)

Getu Alemu Demisse et al. BMC Pregnancy Childbirth. .

Abstract

Background: Puerperal sepsis is an infection of the genital tract, which occurs from rupture of amniotic sacs and within 42ndday after delivery. It happens mainly after discharge in the 1st 24 h of parturition. It is the third leading cause of direct maternal mortality in developing nations. It is also among preventable conditions. Even though multiple interventions were done to overcome these health problems, maternal mortality and morbidities were still significant. Mainly, in Ethiopia lack of clearly identified causes of maternal mortality and morbidity makes the problem unsolved.

Methods: Case-control study was conducted at public Hospitals in west shoa zone Oromia regional state, Ethiopia from February 01 to April 30/2018.women with puerperal sepsis (n = 67) were selected by convenience method. Controls (n = 213) were selected by systematic random sampling. Controls to cases ratio was 3:1 and structured questionnaire was used to interviewafter verbal consent was obtained. Data was entered in to epi -info 7.2 then exported to SPSS version 20.0 for analysis. A logistic regression model was used for data analysis. Those variables which have p-value < 0.05 were accepted that they are independent determinants of puerperal sepsis.

Result: Rural residence (AOR [95%CI] = 2.5(1.029-6.054),Mothers with no formal education (AOR [95%CI] = 6.74([1.210-37.541]), up to primary level of education(AOR [95%CI] = 6.72(1.323-34.086), total monthly income of the mother or family<=500 ETB and 501-1500 ETB(AOR [95%CI] = 5.94(1.471-23.93) and (AOR [95%CI] =6.57 (1.338-32.265) respectively, Mothers having 1-2 times antenatal care(ANC)visit (AOR [95%CI] = 6.57([1.338-32.265]), Duration of Labor12-24 h (AOR [95%CI] = 3.12 (1.805-12.115),> = 25 h (AOR [95%CI] = 4.71([1.257-17.687]),vaginal examinations > = 5times (AOR [95%CI] = 4.00([1.330-12.029]), Delivery by C/S (AOR [95%CI] = 3.85 ([1.425-10.413]), Rupture of membrane > 24 h (AOR [95%CI] = 3.73([1.365-10.208]) and those Referred from other health institutions (AOR [95%CI] = 2.53([1.087-5.884],were independent determinants of puerperal sepsis in this study.

Conclusion: Majority of determinants of puerperal sepsis were related with pregnancy and childbirth. Therefore, to tackle a problem of puerperal sepsis all concerning bodies should take measures during prenatal, natal and postnatal period.

Keywords: Arbaminch; Cases; Controls; Determinant; Ethiopia; Oromia; Puerperal sepsis; West shoa.

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Conflict of interest statement

Ethics approval and consent to participate

Ethical review Committee (IRC) of Arbaminch University approved the proposal of this research. Letter of permission was obtained from West shoa Zone health department and from each hospital administrative. Informed verbal consent was obtained from the study subjects after the data collectors explained the study objectives, procedures and their right to refuse not to participate in the study. Furthermore, confidentiality of the study subjects was assured.

Consent for publication

Not applicable.

Competing interests

The authors declared that they have no competing interests.

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References

    1. kareem T, Abbas M, Ibadi A. Bacteriological study of puerperal sepsis in Al-Najaf city. Journal for biology. 2016;VOL8/NO2(073–8854):143–151.
    1. Bhandary S, rc L. Puerperal Sepsis and its cause in Patan hospital. Nepal Journal of Obstetrics and Gynaecology. 2015;(19):33–5.
    1. Hussein J, Mavalankar DV, Sharma S, D’Ambruoso L. A review of health system infection control measures in developing countries. Glob Health. 2011;7(14):1–9. - PMC - PubMed
    1. Nouri L, Zakour B, Venturin C, Beatson SA, Walker MJ. Analysis of a streptococcus pyogenes puerperal Sepsis cluster by use of whole-genome sequencing. J Clin Microbiol. 2012;50:2224–2228. doi: 10.1128/JCM.00675-12. - DOI - PMC - PubMed
    1. GATLocYAMAMSAWAHe a. Treands and causes of maternal mortality in Ethiopia during 1990-2013 :findig from global burden of disease study in 2013. BMC Public Health. 2017;17. - PMC - PubMed