Factor associated with surgical site infection of women who undergone cesarean section in Hawassa University comprehensive specialized hospital southern Ethiopia, retrospective study design

Abstract

BackgroundCesarean delivery is the most common major operation carried out in obstetrics worldwide, and is the single most important risk factor for postpartum maternal infection. Women undergoing cesarean delivery have a 5 to 20-fold greater chance of getting an infection compared with women who give birth vaginally. Currently, variable rates of surgical site infection, and women stayed longer after the procedure due to this infection. This study aims to know the real magnitude and associated factors. MethodRetrospective study design was used. A total of 431 cases were included by systematic random sampling from the cases that had undergone cesarean section during the study period. Data was collected using a pretested structured questionnaire. Data were entered into SPSS for analysis. Descriptive analysis was made also Bivariate and multivariate logistics have been made to see the relationship between the dependent and independent variables. The strength of associations was presented by odds ratio and a 95% confidence interval P-value<0.05 was considered statistically significant. ResultsThe magnitude of surgical site infection was 11.8% and about 98% were developed within two weeks. In this study, multiple vaginal examination rupture of membrane, prolonged labor, and estimated blood loss >500 ml were associated factors. Conclusionthe magnitude of SSI was high; and multiple vaginal examinations, rupture of membranes, prolonged labor, and estimated blood loss> 500 ml were significant factors for the occurrence.