Knowledge and practice regarding prevention of puerperal sepsis among postpartum women attending a private hospital in Bangladesh
Keywords:Knowledge, Practice, Prevention, Puerperal sepsis, Postpartum
Background: Puerperal sepsis is a common pregnancy-related condition that could eventually lead to obstetric shock or sometimes death. In developing world, the puerperal sepsis is the second most cause of maternal mortality. Cases of Maternal mortality have not declined in spite of efforts by both the public and private sector to prevent such deaths.
Methods: A descriptive cross-sectional study was conducted among 150 postpartum mothers who attended Ibn Sina Medical College Hospital (ISMCH) Bangladesh during August to December 2017. A non-probability purposive sampling technique was used to select the study participants and the data was collected using pre-tested semi-structured questionnaire by face to face interview. The collected information was analysed using SPSS 22.0 version.
Results: About 50.7% of the study participants were in the age group 19-29 years and the mean age of the study participants was 29.6±15.9 years. More than seven-tenths (73.3%) of the study participants were Muslims and the majority (24.7%) of the study participants had senior secondary certificate. Most of the study participants (62%) were living in urban area and only 18.7% were service holders. Only 39.3% of the respondents think that they have sufficient knowledge regarding prevention of puerperal sepsis and about 78% of the study participants mentioned that getting immediate medical care for any wounds or even seasonal diseases prevents puerperal sepsis. About 37.4% were disagreed to avoid sexual intercourse during last 2 months of pregnancy prevents puerperal sepsis and about 51.3% were agreed to avoid appearances in crowded and unhygienic places, this will prevent from catching respiratory diseases.
Conclusions: The findings reported that most of the study participants had poor level of knowledge regarding prevention of puerperal sepsis. However, the study participants had satisfactory practice level about prevention of puerperal sepsis. It further reveals that educational level and age of the study participants was found statistically significant with knowledge about prevention of puerperal sepsis.
Momoh MA, Ezugworie OJ, Ezeigwe HO. Causes and management of puerperal sepsis: the health personnel view point. Adv Biol Res. 2010;4(3):154-8.
Chandra M, Khurshid F, Sirichand, P. Maternal morbidity and mortality assosciation with puerperal sepsis. Liquat University Hospital. 2011;10:03.
Shamshad S, Shamsher S, Rauf B. Puerperal sepsis- still a major threat for parturient. J Ayub Med Coll Abbottabad. 2010 Sep 1;22(3):18-22.
Utoo BT, Musa J, Karshima JA, Ifenne DI. Maternal morbidity after childbirth in a health care facility in south-South Nigeria. Tropical J Obstetr Gynaecol. 2012;29(1):34-9.
Bauer ME, Bateman BT, Bauer ST, Shanks AM, Mhyre JM. Maternal sepsis mortality and morbidity during hospitalization for delivery: temporal trends and independent associations for severe sepsis. Anesthesia Analgesia. 2013 Oct 1;117(4):944-50.
Abbassi RM, Rizwan N, Qazi Y, Mumtaz F. Puerperal Sepsis: an outcome of suboptimal obstetric care. JLUMHS. 2009 Jan 1;8(01):72.
van Dillen J, Zwart J, Schutte J, van Roosmalen J. Maternal sepsis: epidemiology, etiology and outcome. Curr Opin Infect Dis. 2010 Jun 1;23(3):249-54.
Mairiga AG, Kawuwa MB, Kyari O. A fourteen-year review of maternal mortality at the University of Maiduguri Teaching Hospital, Maiduguri Nigeria. Nigerian Hospital Practice. 2008;2(5):115-9.
Begum N. Maternal mortality in Mymensing Medical College Hospital: 1984-1988. Bangladesh J Obs Gynaecol. 1991;6:14-21.
Bhuiyan A, Rahman JM, Salahuddin KM. A study on causes of maternal mortality in a teaching hospital in Bangladesh. Dhaka Shishu Hosp J. 1986;2(3).
Uzma A, Underwood P, Atkinson D, Thackrah R. Postpartum health in a Dhaka slum. Social Sci Med. 1999 Feb 1;48(3):313-20.
Dhar A. New guidelines aimed at reducing maternal mortality. New Delhi. 2010 June 23.
Smaill F, Hofmeyr GJ. Antibiotic prophylaxis for cesarean section. Cochrane Database Systematic Rev. 2002(3):CD000933.
Ahmed MI, Alsammani MA. Puerperal sepsis in a rural hospital in Sudan. Materia Socio Medi. 2013;25(1):19.
Chisembele M. The global incidence of puerperal sepsis. Geneva foundation for medical education and research postgraduate training course in reproductive health. 2004:477-9.
Liu N, Mao L, Sun X, Liu L, Yao P, Chen B. The effect of health and nutrition education intervention on women's postpartum beliefs and practices: a randomized controlled trial. BMC Public Health. 2009 Dec;9(1):45.
Maureen C. The global incidence of puerperal sepsis. Geneva: Foundation for medical education and research. 2004.
Peters F, Flick-Fillies D, Ebel S. Hand disinfection as the central factor in prevention of puerperal mastitis. Clinical study and results of a survey. Obstetr Gynecol. 1992 Feb;52(2):117-20.
Naheed T, Akbar N. Patients with postpartum complications admitted in a medical ward of Mayo Hospital Lahore. Pakistan J Med Sci. 2002;18(2):126-30.