Socio-demographic Factors and Puerperal Sepsis: Experiences from Two Tertiary Level Hospitals in Bangladesh

Tanjila Taskin,Salim Chowdhury,Tajul Islam,Nazmul Khan,Monowara Sultana

doi:10.15344/2456-3498/2016/113

Tanjila Taskin, Salim Chowdhury + Show 3 more

Open Access

https://doi.org/10.15344/2456-3498/2016/113

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Abstract

Introduction:Globally, puerperal sepsis is one of the leading causes of maternal mortality and morbidity. It is the 2nd leading cause of maternal deaths in Bangladesh. Objective:The study was designed to identify the common socio-economic and demographic factors related to puerperal sepsis presented at tertiary level hospitals in Bangladesh. Methodology:A case control study was conducted between April 2011 and December 2011 in two tertiary level hospitals (Dhaka Medical College Hospital and Sir Salimullah Medical Collage Hospital). 35 cases who met the criteria of WHO for puerperal sepsis was included in the study as the cases while 105 cases were selected from the same hospitals as control participants. Both cases and controls were between 15 to 40 years old. Frequency distributions and calculation of means, standard deviation and Odds Ratio were done. Chi-square test and logistic regression analysis was also performed to find out the association between independent and dependent variables. Results:Puerperal sepsis is significantly associated with the age

Highlights

Puerperal infections/sepsis is a major public health and historically considered as a common pregnancy-related condition, which could eventually lead to obstetric shock or even death
Female with puerperal sepsis were considered as the cases while mothers who were admitted in the same health care facilities during the same period were recruited as controls
Over the study period 35 patients were diagnosed with puerperal sepsis by the clinician according to history, symptoms and signs who

Summary

Introduction

Puerperal infections/sepsis is a major public health and historically considered as a common pregnancy-related condition, which could eventually lead to obstetric shock or even death. It is a preventable disease which occurs within six weeks of giving birth [1]. The Odds Ratios are 2.71, 1.91 and 2.06 in Africa, Asia and Latin America and the Caribbean respectively comparing to the developed world [4] It is found as one of the leading cause of maternal deaths in the intensive care unit in the USA [5]. A study from Senegal demonstrated an incidence of sepsis of 8.7 per 100 live births for home deliveries compared to 1.9 per 100 live births for deliveries in health facilities [11]

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