Clinical Presentation and Mortality of Women Presented with Puerperal Sepsis at Tertiary Care Hospital
Erum Samreen *
Department of Obstetrics and Gynecology, LUMHS, Pakistan.
Madiha Abbasi
Department of Obstetrics and Gynecology, LUMHS, Pakistan.
Naheed Parveen
Department of Obstetrics and Gynecology, LUMHS, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Objective: To determine the clinical presentation and mortality of women presented with puerperal sepsis at tertiary care Hospital.
Materials and Methods: This cross-sectional study was conducted at obstetrics and gynaecology department of Liaquat University of medical and health Sciences, from April 2018 to march 2019. Women having age more than 15 years and presented with sepsis after birth followed by spontaneous vaginal delivery, instrumental or episiotomy vaginal delivery or caesarean section were included. All the data including clinical features and mortality were recorded by study proforma. Data was analyzed by using SPSS version 20.
Results: Most of the patients 46.6%, having age between 26 to 35 years. Majority of the patients 48.3% were delivered by normal vaginal delivery (NVD) and 37.9% underwent caesarean section, while 13.8% given birth as NVD with episiotomy. Almost all cases presented with fever and other common clinical features were abdominal pain, vaginal discharge, wound infection and breast tenderness. According to the maternal outcome 24.1% patients were shifted to intensive care unit (ICU), 34.5% had prolonged hospital stay and mortality rate was 10.3%. There was no significant difference in maternal outcome according to mod of delivery; p-values were quite insignificant.
Conclusion: It was concluded that puerperal sepsis is a major contributing factor of maternal adverse outcome. Common clinical features were fever, abdominal pain and vaginal discharge.
Keywords: Puerperal sepsis, morbidity and mortality.