Document Type : Original Research Article
Authors
1
a) Lecturer, Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia b) Department of Midwifery, College of Medicine and Health Sciences, Werabe University, Werabe, Ethiopia
2
Assistant Professor, Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia
3
Lecturer, Department of Anesthesia, College of Medicine and Health Sciences, Werabe University, Werabe, Ethiopia
4
Assistant Lecturer, Department of Health Informatics, Hossana College of Health Sciences, Hossana, Ethiopia
10.22038/jmrh.2024.72442.2123
Abstract
Background & aim: One of the main global causes of maternal morbidity and death is puerperal sepsis. It remains the most unaddressed public health trouble, especially in emerging nations like Ethiopia. So as to better understand its rate and predictors, this study was conducted at the Wachemo University Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Hadiya zone, Central Ethiopia.
Methods: Between March 1st to April 30th, 2020, 422 participants in a cross-sectional poll were selected by a systematic sampling method. Questionnaires and Chart reviews were used to collect data. SPSS software (version 24) was used for data entry and analysis. We employed both bivariate and multivariate logistic regression to ascertain the relationship between the explanatory factors and the dependent variable. With the use of odds ratios and their 95% confidence intervals, the existence and strength of an association were determined.
Results: The prevalence of puerperal sepsis was 20.6%. Rural residency (AOR=5.8, 95% CI=3.12-11.02), home delivery (AOR=8.5, 95% CI=3.19-25.6), fewer than four prenatal care visits (AOR=9, 95% CI=4.52-16.12), caesarean delivery (AOR=8.5, 95% CI=4.27-16.69), obstructed labour (AOR=2.6, 95% CI=1.1-6.03), and referral (AOR=4, 95% CI= 2.09 -7.61) were among the factors that predicted puerperal sepsis.
Conclusion: Puerperal sepsis is an unsolved public health problem in the study area. Therefore, it is crucial to reduce the rate of puerperal sepsis among postpartum women by implementing aseptic techniques during caesarean section procedures, encouraging the use of antenatal care services, improving institutional delivery, preventing obstructed labour by regularly using partograph to manage labour, and offering timely referrals.
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