Maternal & Child Health

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Browsing Maternal & Child Health by Author "Banda, Felix"

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    Prevalence and determinants of puerperal sepsis following caesarean section delivery at Mangochi District Hospital, Malawi: A case control study
    (Kamuzu University of Health Sciences, 2021-10-18) Banda, Felix
    Type of study: This is a case control study that aims to estimate the prevalence and assess determinants of puerperal sepsis following Ceasarian section delivery. Problem Caesarean section delivery is the most common surgical procedure performed in Malawian hospitals on women with obstetric complication to aid in delivery of babies[1]. This procedure however has its own complications on women including post-surgery infection (puerperal sepsis) among others[1–4]. Puerperal sepsis among other complications is responsible in causing high maternal and morbidity rates. Despite improvement in knowledge, health care personnel and health care delivery, puerperal sepsis continues to occur in different hospitals in Malawi including Mangochi DHO. Mangochi DHO does refer some complicated puerperal sepsis patients to Zomba Central Hospital for further Management. Most of these patients are those who delivers through C. section. Objectives The primary objective of the study is to determine the magnitude and determinants for puerperal sepsis following caesarean section delivery at Mangochi DHO. Secondary objectives include assessing the prevalence rate of puerperal sepsis and to assess factors associated with puerperal sepsis following C. section delivery at MDH. Methodology This is a case control study whereby data will be extracted from case notes of postnatal mothers who were admitted with puerperal sepsis at the facility and had their C. section also done at the facility and these will be cases. Additionally, data will also be extracted from theatre, labour ward and postnatal registers. Data for controls for each case will be extracted from case notes of those post C. section mothers who had their procedure done at the facility. From all the participants files, data to be extracted include demographic data, antenatal information, labour and delivery data, and postnatal management including medication and discharge. Data will be collected using a standardized paper based questionnaire. Analysis will be done using Stata version 15. Expected findings We will determine the prevalence of puerperal sepsis among postpartum women following C. section delivery at the facility. We will also describe factors that are associated with puerperal sepsis following C. section procedure at the facility. Dissemination We will share final copy of findings with Kamuzu University of Health Sciences, COMREC, Mangochi District Health Office, District Health Management Team, and District Commissioner. This copy will also be presented National and International conferences and will be published in peer review journal.