Prevalence and determinants of puerperal sepsis following caesarean section delivery at Mangochi District Hospital, Malawi: A case control study
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Date
2021-10-18
Authors
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Journal ISSN
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Publisher
Kamuzu University of Health Sciences
Abstract
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.