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Original Article

J Liaquat Uni Med Health Sci. 2011; 10(3): 121-123


Maternal Morbidity and Mortality Associated with Puerperal Sepsis

Chandra Madhudas, Farkhunda Khurshid, Pushpa Sirichand.

Abstract
OBJECTIVE: To identify frequency and risk factors in patients presenting with puerperal sepsis
in tertiary care hospital.
STUDY DESIGN: Retrospective study
PLACE AND DURATION: Department of Obstetrics and Gynaecology (Unit-II) Liaquat University
Hospital, Hyderabad, Sindh from June 2006 to May 2008.
METHODS: The frequency and predisposing factors were analyzed in patients presenting with
puerperal sepsis in tertiary level hospital. Medical record of patients who fulfilled criteria of puerperal
sepsis was scrutinized and data was entered in a predesigned proforma.
RESULTS: Over the study period 230 patients presented with puerperal sepsis representing
6.28% of 3656 admissions in gynecological unit II. So for risk factors were concerned all patient
were anemic, 90.86% patients were unbooked and 64.34% patients arrived in university hospital
after being from more than one station. 56.08 %patients had frequent vaginal examination(more
than five), 54.78 % patients were delivered at home, 48.26% patients were with prolong rupture
of membrane (>6hrs), and 46.52% cases with prolong labour. 16.95% patients were admitted
with altered consciousness and mortality rate was 21.68%.
CONCLUSION: The study concluded that puerperal sepsis was preventable in majority of cases.
Maternal mortality due to puerperal sepsis was very high with 21.68%.

Key words: Puerperal sepsis, Risk factors, maternal mortality, maternal morbidity, prevention.



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