Association of Puerperal Sepsis with Income Level, Booking Status, and Mode of Delivery Among Patients at A Tertiary Care Setting: Puerperal Sepsis with Income Level, Booking Status, and Mode of Delivery

Sandhya Kumari; Samreen Bakhtawar; Rukhsar Samo; Suraksha Nagdev; Shaista Hifaz Abro; Muhammad Parial Shahani

doi:10.54393/pjhs.v7i5.3388

Authors

Sandhya Kumari Department of Gynaecology and Obstetrics, Shaikh Zayed Women Hospital, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan
Samreen Bakhtawar Department of Gynaecology and Obstetrics, Shaikh Zayed Women Hospital, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan
Rukhsar Samo Department of Gynaecology and Obstetrics, Shaikh Zayed Women Hospital, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan
Suraksha Nagdev Department of Gynaecology and Obstetrics, Shaikh Zayed Women Hospital, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan
Shaista Hifaz Abro Department of Gynaecology and Obstetrics, Shaikh Zayed Women Hospital, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan
Muhammad Parial Shahani Faculty of Medicine and Nursing Health Sciences, SEGI University, Malaysia

DOI:

https://doi.org/10.54393/pjhs.v7i5.3388

Keywords:

Puerperal Sepsis, Un-booked, Caesarean Sections, Pregnancy

Abstract

According to the World Health Organization (WHO), puerperal sepsis is a contracted infection of the genital tract that occurs during labor or in a period of 42 days following the birth. It is the leading cause of preventable maternal disease and death in rich and poor countries. In Pakistan, it ranks third after hemorrhage and hypertensive diseases among women. Objectives: To determine the association of puerperal sepsis with booking status and mode of delivery among patients admitted at the Department of Obstetrics, Shaikh Zaid Women Hospital, Larkana. Methods: The study included 170 patients with puerperal sepsis in total. Demographic data were collected, including age, parity, socioeconomic position, and time since delivery. All the collected data were entered and analyzed using SPSS version 26.0. Results: According to the findings of this study, the mean age was 28.96 ± 6.41 years, the mean time since delivery was 22.11 ± 5.68 days, the mean parity was 1.58 ± 0.895, and the mean BMI was 24.51 ± 4.43. 103 (60.59%) patients were primigravida. 81 (47.65%) patients reported a monthly income of less than 50 thousand, and 81 (47.65%) patients reported a delay of more than 28 days. The income level (p-value=0.018) and mode of delivery (p-value=0.04) were found to have a significant association with puerperal sepsis. Conclusions: The puerperal sepsis is found to have a significant association with the caesarean section deliveries, income level, and case which remain un-booked during pregnancy.

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