Revisiting Puerperal Sepsis in Obsteric Referal Centres in Port Harcourt, Southern Nigeria
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Date
2020-04
Journal Title
Journal ISSN
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Publisher
SCIENCEDOMAIN international
Abstract
Background: As the frontier of knowledge expands, surgicalskills improve;and with the advent of increasingly potent antibiotics, it is expected that puerperal sepsisand itscomplications as captured in the literature of studieswill be on the down turn. With this in mind,we decided to find out what is current as par risk factors and complications of puerperal sepsis in these obstetric referral centres in Port Harcourt.Objective:To determine the risk factors and complications of puerperal sepsis at the University of Port Harcourt Teaching Hospital(UPTH), Port Harcourt and the River State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria.Methods: The case notes of these patients were retrieved from the medical records departments and relevant data extracted using a well-structured proforma. Data collected included the demographic characteristics, booking status, background immune suppression (HIV/AIDSor DM) abour characteristics, place and mode of delivery, fetal outcome, length of hospital stay. Morbidities like septicaemia, pelvic abscess, disseminated intravascular coagulopathy among others; and the presence of mortality was also noted.The data was analyzed using SPSS version 23.0. Statistical analysis of data was done by Chi-square test. A p-value less than 0.05 was considered significant. The result is presented in tables of frequencies and percentages.Results: The prevalence of puerperal sepsis was 1.7%. Risk factors were low parity,unbooked status (84.35%) and wound infection (29.9%),among otherintrauterine foetal death (22.8%), obstructed labour (14.2%)and perineal tear (11.0%). The main complications of puerperal sepsis noticed were prolonged hospital stay (58.3%) and septicaemia (13.4%); pelvic abscess (10.2%) and intestinal obstruction (4.7%) while (1)3.1% ended in mortality.Conclusion:Complications of puerperal sepsis were still high in these centres. Worrisomely, a huge number of these patients wereunbooked.
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Keywords
Puerperal sepsis, complications, unbooked status, Port Harcourt
Citation
Oranu Emmanuel Okwudili, Owolabi Ayodeji Oluwaseun, Esther I. Nonye-Enyindah. Revisiting Puerperal Sepsis in Obsteric Referal Centres in Port Harcourt, Southern Nigeria. Journal of Advances in Medicine and Medical Research. 2020 Apr; 32(5): 9-15