Assessment of factors associated with burden of Puerperal Sepsis in maternity women at Ishaka Adventist Hospital Bushenyi District


Ayen Felix

Puerperal sepsis is the infection of the genital tract occurring at any time between the onset of the rupture of membranes or labor and the 42nd day postpartum in which fever and one or more of the following are present: pelvic pain, abnormal vaginal discharge, abnormal odour of discharge, and delay in the rate of reduction of size of the uterus. It is a major cause of morbidity and mortality in most hospitals worldwide especially in developing world. The study was carried out in Ishaka Adventist hospital with the aim of identifying burden of puerperal sepsis and associated factors among mothers in the postnatal ward. A quantitative and qualitative cross sectional study was conducted where by the questionnaires was availed to mothers in maternity ward to fill. From the results, most mothers were age between 25-29 and married. Out of 70 mothers who were interviewed, only 8 mothers were diagnosed with puerperal sepsis and the major risk factors were; home birth 39(55.7%), socio economic factors, i.e., no money 26(37.1%), inadequacy of food during pregnancy 49(70%) and repeated vaginal examination 43(61.4%).  Majority of mothers (59%) also believed that puerperal sepsis can lead to a serious complication like infertility, fallopian tube blockage, chronic pelvic pain, acute morbidities and death and 41% don’t know.  Majority of the respondents agreed that puerperal sepsis lead to the complication like chronic pelvic pain, infertility, acute morbidities, long term disabilities and the major risk factors were home delivery, inadequacy of food, socio economic factors and prolonged labor. Health workers also agreed that management of puerperal sepsis involved a multidisciplinary approach to achieve a good outcome. We therefore recommend the following; encouraging mothers to deliver from the health facility, use of partograph by the health workers and further studies about the topic was also encouraged.

Keywords: Puerperal sepsis, maternity ward, labor, maternal mortality.





Ayen Felix (2023).Assessment of factors associated with burden of Puerperal Sepsis in maternity women at Ishaka Adventist Hospital Bushenyi District. INOSR EXPERIMENTAL SCIENCES 11(2):32-41.