Prevention Of Puerperal Sepsis Research Articles

Knowledge and Practice Regarding Prevention of Puerperal Sepsis among Postnatal Mothers in Selected Areas of Kamrup (M), Assam

Background: Postpartum period or puerperium is the period following childbirth during which the body tissues especially the pelvic organs revert back approximately to the prepregnant state both anatomically and physiologically. Each mother has to adjust the physical changes in her own body due to involution and lactation as well as puerperal complication which may occur. Title of the study: A study to assess the knowledge and practice regarding prevention of puerperal sepsis among postnatal mothers in selected areas of Kamrup (M), Assam. Methodology: A quantitative survey approach was adopted to assess the knowledge and practice regarding prevention of puerperal sepsis among postnatal mothers in selected areas of Kamrup (M), Assam. 81 postnatal mothers were selected using multistage simple random sampling technique from selected areas (Lalganesh, Bank Colony, Adagudam, Sankar Nagar, Kailashpur, Sreebhumi Nagar, Hillview Road, Odalbakra, Gobinda Nagar under Odalbakra MPHC of Dhirenpara zone) Kamrup(M), Assam. A structured interview questionnaire and checklist were used to assess the knowledge and practice of the postnatal mothers regarding prevention of puerperal sepsis

Reported self-care practice toward prevention of puerperal sepsis and associated factors among postnatal mothers: Community-based cross-sectional study.

Puerperal sepsis is a leading cause of maternal morbidity and mortality in low-income countries, which can affect sustainable development goals. Even though it is a preventable problem through maternal self-care practices, maternal-reported self-care practices regarding puerperal sepsis were under-researched in Ethiopia. Therefore, this study aimed to assess the maternal reported self-care practice and associated factors among postnatal mothers for the prevention of puerperal sepsis. The study aimed to assess the reported self-care practice of postnatal mothers in Arba Minch town toward the prevention of puerperal sepsis and its associated factors. A community-based cross-sectional study was employed from 1st to 30th May 2022. Study participants were selected using a simple random sampling technique. Data was collected by the Open Data Kit tool and exported to SPSS version 26 for further analysis. Both crude and adjusted odds ratios with a 95% CI were calculated, and a p-value of less than 0.05 was used to declare statistically significant factors. Of a total of 423 postpartum mothers, 417 participated, making a response rate of 98.5%. The study revealed that 45.6% (95% CI: 41.2%, 50.1%) of postnatal mothers had good reported self-care practices toward the prevention of puerperal sepsis. Tertiary educational level (AOR: 2.56; 95% CI: 1.43, 4.59), multiparity (AOR: 0.44; 95% CI: 0.26, 0.74), and having a good awareness of puerperal sepsis prevention (AOR: 2.17; 95% CI: 1.40, 3.37) were significantly associated at a p-value less than 0.05. This study revealed that less than half of postnatal mothers reported good self-care practices. Healthcare providers and all stakeholders should focus on strategies to improve self-care practice during antenatal and postnatal care and at a community level, with a special focus on postnatal mothers with no formal education and multiparous mothers.

A study to assess the effectiveness of self-instructional module regarding prevention of puerperal sepsis on knowledge related to practice of postnatal mothers in a selected hospital, Gwalior

A study to assess the effectiveness of self-instructional module regarding prevention of puerperal sepsis on knowledge related to practice of postnatal mothers in a selected hospital, Gwalior

Knowledge and Practices of Health Workers on Prevention of Puerperal Sepsis among Mothers at Fort Portal Regional Referral Hospital

Puerperal sepsis encompasses infections after birth usually in the first 42 days following the postpartum period and is the major cause of maternal morbidity and rendered the major cause of death worldwide. Globally, puerperal sepsis is estimated to account for 15% of the 500,000 maternal deaths annually. It is the third most common cause of maternal deaths worldwide. The purpose of the study was to assess the Knowledge and Practices of health workers on the prevention of puerperal sepsis among mothers at Fort Portal Regional Referral Hospital, Fort Portal City. The study was a cross-sectional descriptive study design that used quantitative methods. A consecutive sampling method was used to select respondents. The sample size was 96 but 81 respondents were interviewed using self-administered questionnaires, where data was coded, entered using SPPS 20.1 and presented in tables, graphs and pie charts. The results showed that health workers had inadequate knowledge of puerperal sepsis where 30(45.5%) correctly described puerperal sepsis. 31(38.3%) and 29(35.8%) reported repeated vaginal exams and caesarean section as risk factors for puerperal sepsis, respectively. Practices of health workers to prevent puerperal sepsis are hand washing 45(55.5%), wearing gloves 81(100%), screening for risk factors 76(93.6%) and use of prophylactic antibiotics. In conclusion, health workers have inadequate knowledge of puerperal sepsis prevention and good practices on puerperal sepsis prevention. And the researcher recommends that all health workers in the maternity ward should undergo special training on puerperal sepsis prevention methods and more research to evaluate the techniques of the practices applied and their association with the prevention of puerperal sepsis be conducted. Keywords: Puerperal sepsis, Infections after birth, Postpartum period, health workers, Caesarean section.

Effect of Utilizing Care Bundle on Prevention of Puerperal Sepsis among Post-Natal Women

Effect of Utilizing Care Bundle on Prevention of Puerperal Sepsis among Post-Natal Women

Effect of an Educational Program on Knowledge and Self Care Practices of Pregnant Women regarding Prevention of Puerperal Sepsis

Effect of an Educational Program on Knowledge and Self Care Practices of Pregnant Women regarding Prevention of Puerperal Sepsis

A Study to Assess the Knowledge Regarding “Prevention of Puerperal Sepsis” in Early Puerperium among Postnatal Mothers Admitted in the Maternity Unit of NMCH, Jamuhar, Rohtas

Introduction: According to survey conducted by World Health Organization (WHO) in 1998 only a small proportion of women in developing countries i.e. less than 30% receive adequate postpartum care and in very poor countries and regions only 5% of women receive such care where as in developed countries 90% of mothers receive postpartum care. World health organization reported about 358000 maternal deaths occurring during labour and childbirth and 15% were related with puerperal sepsis in 2019. Background: Postpartum period or puerperium is the period following childbirth and of great importance for both mother and baby as it is an aspect of maternity care which receives less attention compared to pregnancy and delivery. Also, the others are less aware of their health while taking care of newborn baby and also many alarming complications can arise due to lack of knowledge in preventive measures. So it is necessary to assess the knowledge of postnatal mothers regarding the prevention of puerperal sepsis, in a selected hospital. It was conducted at selected hospital in NMCH jamuhar, Rohtas among 60 postnatal mothers selected by using convenient sampling technique and who met the inclusion criteria. Objectives: To assess the level of knowledge of postnatal mothers regarding prevention of puerperal sepsis in early puerperium. To find out the association between the knowledge of postnatal mothers regarding prevention of puerperal sepsis in early puerperium with selected demographic variables. The population of sample consists of postnatal mothers in NMCH, jamuhar, Rohtas. Methodology: A non-experimental descriptive approach is using for this study as it is considered as suitable one to assess the knowledge regarding prevention of puerperal sepsis among postnatal mothers. The research design for present study is descriptive Design. Results: In order to collect the scientific data we used self structured questionnaire index. According to the Majority of sample (8.33%) postnatal mothers were having poor knowledge change, (88.33%) postnatal mothers were having average knowledge change and (3.33%) postnatal mothers were having good knowledge change. With the help of self structure questionnaire knowledge has been assess that majority of the participant average knowledge about puerperal sepsis. Conclusion: the study concluded that assess the level of knowledge of postnatal mothers regarding prevention of puerperal sepsis in early puerprium. The level of knowledge significantly different between postnatal mothers.

Prevention of puerperal sepsis in northwest Ethiopia: Knowledge and practice of postnatal women; A multicenter cross-sectional study.

Objectives:Puerperal sepsis is a life-threatening condition that can lead to death and long-term morbidities of postnatal women, such as chronic pelvic pain, pelvic inflammatory disease, and secondary infertility. Therefore, the study aimed to assess the knowledge and practice of postnatal women at Debre Markos town health facilities toward the prevention of puerperal sepsis and its associated factors.Methods:A multicenter cross-sectional study was conducted from 1 to 30 July 2020. In all, 404 sampled postnatal women took part in the study. A systematic random sampling technique was employed to select each study participant. Data were entered into Epi data 4.6 and analyzed by statistical package for social sciences 25. Multivariate logistic regression was carried out for variables with a p value less than 0.25 in bivariate logistic regression to determine significant associations between the outcome and independent variables. The statistical significance was determined using a 95% confidence interval with a p value of less than 0.05.Results:The study reported that 44.6% and 40.8% of postnatal women had adequate knowledge, and good practice toward the prevention of puerperal sepsis, respectively. Factors associated with knowledge were urban residence [adjusted odds ratio = 5.84, 95% confidence interval = (3.54–9.46)], primiparity [adjusted odds ratio = 1.85, 95% confidence interval = (1.19–2.89)], and attending formal education [adjusted odds ratio = 2.41, 95% confidence interval = (1.11–5.22)] of study participants. Attending formal education [adjusted odds ratio = 2.46, 95% confidence interval = (1.13–5.37)] and having adequate knowledge [adjusted odds ratio = 2.34, 95% confidence interval = (1.49–3.67)] were factors associated with the prevention practice of postnatal women toward puerperal sepsis.Conclusion:Less than half of postnatal women had adequate knowledge and good practice to prevent puerperal sepsis. As a result, obstetric caregivers and other concerned bodies should consider strategies to increase the awareness level of women about puerperal sepsis. Interventions to improve the community’s educational level should also be considered.

Puerperal sepsis-related knowledge and reported self-care practices among postpartum women in Dar es salaam, Tanzania.

Background:Knowledge and reported self-care practices of postpartum women are important for early detection, prevention and treatment of puerperal sepsis.Objectives:This study analyzes the knowledge and self-care practices for prevention of puerperal sepsis and their determinants among postpartum women.Methods:A hospital-based analytical cross-sectional study which included 343 postpartum women was conducted from February to March 2021. Data were collected using interviewer-administered questionnaire. Predictors of knowledge and self-care reported practice were determined using binary logistic regression. p < 0.05 was considered significant.Results:More than half (n = 213, 62.1%) of the postpartum women had adequate knowledge on prevention of puerperal sepsis. Only 39 (11.4%) of the women reported adequate self-care practices toward prevention of puerperal sepsis. Secondary education (adjusted odds ratio = 0.18, 95% confidence interval = 0.06–0.49, p = 0.001), tertiary education (adjusted odds ratio = 0.52, 95% confidence interval = 0.19–1.38, p = 0.021) and getting information from healthcare providers (adjusted odds ratio = 1.06, 95% confidence interval = 0.55–2.06, p = 0.049) were significant determinants of knowledge on prevention of puerperal sepsis. Also, secondary education (adjusted odds ratio = 0.11, 95% confidence interval = 0.04–0.30, p = 0.001), tertiary education (adjusted odds ratio = 0.16, 95% confidence interval = 0.06–0.39, p = 0.001), and having more than four antenatal care visits (adjusted odds ratio = 1.21, 95% confidence interval = 0.49–3.27, p = 0.041) were significant determinants of reported self-care practices for prevention of puerperal sepsis.Conclusion:A significant gap in reported self-care practices to prevent puerperal sepsis was evidence. Secondary and tertiary education were significant predictors for both knowledge and self-care reported practices. Special attention should be given to women with low education level.

Knowledge and Practices of Postnatal Mothers Regarding Prevention of Puerperal Sepsis

Background. Puerperal sepsis is infection of the genital tract occurring at any time between the onset of rupture of membranes or labor and the 42 day postpartum. It's one of the fifth common causes of maternal mortality worldwide. The aim of this study is To assess Knowledge and practices of postnatal mothers regarding prevention of puerperal sepsis . Research Design: A descriptive cross sectional research design. Subject: Purposive samples composed of (87) postnatal mothers from Minia University Hospital for obstetric and pediatric at postnatal department. Tools of data collection: include - A structured interview questionnaire, knowledge assessment tool and practical assessment tool. Results: the study revealed that (87.4%) of the studied women had unsatisfactory knowledge level regarding puerperal sepsis and (74.7%) of the studied sample had poor practice about prevention of puerperal sepsis. There is positive association between total knowledge score and total practices level (p. value < .ooo1) Conclusion: The study concluded that majority of postnatal mothers had poor level of knowledge regarding puerperal sepsis , and around three quarters of them had poor practice about prevention of puerperal sepsis. A positive fair association was found between knowledge and practice scores regarding prevention of puerperal sepsis. Recommendation: - The obstetric nurse could play and implement their role as health educator, counselor, coordinator, and supervisor and help post natal mothers to improve their knowledge and practices regarding puerperal sepsis and its prevention.

Effectiveness of self-instructional module regarding prevention of puerperal sepsis on knowledge and practice of postnatal mothers

Motherhood is a distinct bio-psychosocial process that transforms and broadens the role of women into that of a mother. Puerperium is a period, where the experiences are intense physical and emotional stress due to exhaustion, anxiety and excitement. Puerperal infection causes a number of distressing conditions into post natal women. There are chances of puerperal infection in the genital urinary tract and caesarean section, wound infection. This Study was conducted to assess the effectiveness of self-instructional module regarding prevention of puerperal sepsis on knowledge and practice of postnatal mothers in a selected hospital, Bangalore. A quasi experimental one group pre and post test design was undertaken on 50 post natal mothers who were selected by purposive sampling technique. Initially Level of Knowledge was assessed before administration of Self instructional Module. After that seven day post test was conducted with the same questionnaire. The study revealed that there was a significant difference between the Pre and Post test Level of Knowledge at p<0.05.

Clinical Evaluation of the Efficacy of Saubhagyashunthi Paka and Dashamularishta in Sutika Paricharya (Postnatal Care)

Background: The postnatal period begins immediately after the separation of the placenta extending up to 6 weeks, otherwise called as the puerperium or puerperal period. The care given during this period is called as Sutika Paricharya (postnatal care) in Ayurveda. During the time of labor, the mother undergoes tremendous physical exertion and becomes extremely debilitated, physically and mentally, which leads to derangement of Dosha especially Vatadosha in the mother. These factors cause general weakness, pain in the abdomen, low back pain, loss of appetite, dysfunction of the bladder, postnatal psychosis, etc. Apart from these, the mother also suffers with Dhatukshaya (weakness of body tissue). Prevention of puerperal sepsis, management of other complications, proper involution of genital organs, and proper lactation need to be well managed during the puerperal period. Based on the information available in the Ayurvedic texts regarding the management during Sutika Kala (postnatal phase), this study has been designed to assess the clinical efficacy of two Ayurvedic classical formulations, viz., Saubhagyashunthi Paka and Dashamularishta for the effective management of the puerperal phase. Materials and methods: A single-center, noncontrolled, open-label clinical trial as a means of assessing the therapeutic efficacy of Saubhagyashunthi Paka and Dashamularishta will be conducted. A total of 40 participants will be recruited for the study. The study period is 12 months, during which all the participants will be given the trial drugs for a duration of 8 weeks along with the standard care as recommended by established guidelines. Outcome measures: The primary outcome measure is to restore the strength of the mother and minimize the complications and establishment of sufficient lactation. The secondary outcomes are improvement in the quality of life and clinical safety of the trial drugs. Statistical evaluation would be done at the end of the trial period to compare the changes in the assessment parameters from the baseline. Discussion: The study will generate the preliminary evidence of the efficacy of Saubhagyashunthi Paka and Dashamularishta in Sutika Paricharya (w.s.r. to postnatal care), which will validate the Ayurvedic therapeutic approach for the management of Sutika Paricharya and will also help to design a randomized controlled trial. Trial registration: Clinical Trials Registry—India [CTRI/2020/01/022935]

Effectiveness of Self Instructional Module Regarding Prevention of Puerperal Sepsis Related to Practice of the Post Natal Mothers

Effectiveness of Self Instructional Module Regarding Prevention of Puerperal Sepsis Related to Practice of the Post Natal Mothers

A Study to Assess the Knowledge and Practice on Prevention of Puerperal Sepsis among Postnatal Mothers in Selected Hospital, Puducherry with a View to Develop an Information Booklet

Postpartum period or puerperium is the period following childbirth and of great importance for both mother and baby as it is an aspect of maternity care which receives less attention compared to pregnancy and delivery. Also, the others are less aware of their health while taking care of newborn baby and also many alarming complications can arise due to lack of knowledge in preventive measures. So it is necessary to assess the knowledge and practice of postnatal mothers regarding the prevention of puerperal sepsis, in a selected hospital, with a view to develop an information booklet. It was conducted at selected hospitals in Pondicherry among 100 postnatal mothers selected by using non probability purposive sampling and who met the inclusion criteria. The objective was to assess the existing level of knowledge and practice of postnatal mothers, to correlate the level of knowledge and practice and to associate the level of knowledge with selected demographic variables. Quantitative exploratory approach was used in the study with non experimental descriptive survey design. The conceptual model used is Becker's health Belief Model. To collect the data, structured knowledge questionnaire was given to the mothers and a structured interview schedule was conducted to assess the level of practice of postnatal mothers. The statistical analysis shows that the mothers had moderate knowledge with adequate practices. This study finding revealed that there is zero correlation existing between the knowledge and practice scores.

Dr Leonard Colebrook, FRS (1883–1967) and the chemotherapeutic conquest of puerperal infection

Leonard Colebrook was born in Guildford on 2nd March 1883 and received his education at Guildford Grammar School, the High School, Eastbourne, and Christ’s College, Blackheath. He studied medicine at...

The cause and prevention of puerperal sepsis.

The cause and prevention of puerperal sepsis.

The cause and prevention of puerperal sepsis

The cause and prevention of puerperal sepsis

A study of maternal morbidity

1.1. Infection is still the leading cause of maternal deaths in the United States.2.2. The source of puerperal infection may be either endogenous or exogenous.3.3. Much can be done to lower the incidence of puerperal sepsis by proper preparation of the patient in labor, and by the careful handling of her labor.4.4. Three thousand, four hundred and fifty-seven patients were delivered at the Evanston Hospital from 1941 to 1944. The gross maternal morbidity was 5.09 per cent and the corrected rate was 3.64 per cent.5.5. A summary of the routine used in the maternity department of the Evanston Hospital is presented.6.6. The patients with pnerperal sepsis are analyzed in detail. Those who had undergone major obstetric operations carried the highest morbidity rates. Those who were delivered with low forceps had a lower morbidity rate than the patients who were delivered spontaneously.7.7. Artificial rupture of the membranes for the induction of labor caused no increase in febrility.8.8. There was very little seasonal variation in the morbidity rate except for some increase during the months when upper respiratory infections were more common.9.9. The prevention of puerperal sepsis is chiefly the responsibility of the attending physician.10.10. The more recent additions to the treatment of puerperal sepsis are briefly discussed.

A ten-year analysis of puerperal sepsis deaths in Philadelphia

1.1. Three hundred and eight women died of puerperal sepsis in Philadelphia during the past ten years.2.2. Three-fourths of the deaths from puerperal sepsis were deemed preventable.3.3. The prevention of puerperal sepsis is chiefly the responsibility of the physician.4.4. Puerperal sepsis is greatest in the nullipara, the colored race, and the woman aged 35 to 40 years.5.5. Operative interference preceded infection in 57.7 per cent of these patients.6.6. Cesarean section was performed on one-third of the patients who died of puerperal sepsis.7.7. Obstetric complications cannot be properly treated in the home.8.8. The causes of puerperal sepsis vary from violations of elementary principles, through fine errors of judgment and technique, to unavoidable disaster.

Prevention of Puerperal Sepsis

Prevention of Puerperal Sepsis