Abstract
Objective: Conduct a study about the epidemiological, clinical, therapeutic and prognostic aspects of puerperal infections within Gynecology Obstetrics department of CHU-YO during the study period. Patients and Methods: This was a cross-sectional and descriptive study. The study period was from January 1st to December 31st, 2019. Data collection was retrospective. The exhaustive sample included all female patients having a puerperal infection. Results: Our study included 65 patients. The frequency of puerperal infections represented 1% of deliveries, the average age of patients was 27 ± 7.26 years. Housewives represented 64.4% of the patients. Hyperthermia and abdominal-pelvic pain respectively occurred in 63.8% and 21.3% of patients. The patients had given birth by caesarean section in 83.1% of cases. Endometritis represented 76.9% of cases of puerperal infections. The patients were treated with antibiotics, uterotonics and symptomatic therapy. Maternal death occurred in 13.9% of cases. Conclusion: A focus should be put on preventive measures in front of any high-risk puerperal infection situation.
Highlights
In Burkina Faso, puerperal infections are still responsible for 15% of maternal deaths despite the efforts made by the health system to improve access to obstetrical care [7] [8]
The maternity ward of the Yalgado Ouédraogo Teaching Hospital recorded 6413 deliveries; we identified 65 cases of puerperal infections, representing 1% of deliveries
Escherichia coli accounted for 41.1% of the identified germs
Summary
These infections were one of the most common causes of death and disability in the postnatal period. In Burkina Faso, puerperal infections are still responsible for 15% of maternal deaths despite the efforts made by the health system to improve access to obstetrical care [7] [8]. This raises the question of the effectiveness of probabilistic antibiotic treatments because of the low national coverage of laboratories and qualified personnel for the identification and sensitiveness of the responsible germs before starting any treatment. The need is to conduct this study on puerperal infections in order to specify the epidemiological, diagnostic, therapeutic and prognostic aspects for better treatment
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