Abstract：
OBJECTIVE: To identify determinants of puerperal sepsis among postpartum women attending East Shoa Zone public hospitals, Central Ethiopia, 2023.
METHODS: An institutional-based, unmatched case-control study was conducted from 19 June 2023 to 4 September 2023, in East Shoa Zone public hospitals.
METHODS: 495 postpartum women (100 cases and 395 controls) were selected using systematic sampling techniques. Data were collected through face-to-face interviews and from medical charts using a pretested, structured questionnaire. The AOR with its corresponding 95% CI was used to identify determinant variables. Findings were presented in texts and tables.
METHODS: The medical charts of participants were reviewed to identify those who had developed puerperal sepsis.
RESULTS: Anaemia (AOR 6.05; 95% CI 2.57 to 14.26), undernourishment (AOR 4.43; 95% CI 1.96 to 10.01), gestational diabetes mellitus (AOR 3.26; 95% CI 1.22 to 8.74), postpartum haemorrhage (AOR 3.17; 95% CI 1.28 to 7.87), obstructed labour (AOR 2.76; 95% CI 1.17 to 6.52), multiparity (AOR 2.54; 95% CI 1.17 to 5.50), placenta previa (AOR 2.27; 95% CI 1.11 to 4.67) and vaginal examination ≥5 times (AOR 2.19; 95% CI 1.05 to 4.54) were the independent determinants of puerperal sepsis in this study.
CONCLUSIONS: This study found that gestational diabetes mellitus, anaemia, undernourishment, placenta previa, obstructed labour, postpartum haemorrhage and five or more per-vaginal examinations during labour were the determinants of puerperal sepsis. Therefore, it is recommended that obstetric care providers strictly adhere to guidelines on the number of vaginal exams that should be performed throughout labour and that they perform these exams using the appropriate infection-prevention techniques. In addition, they should provide comprehensive health education on nutrition during pregnancy and postnatal periods and the importance of iron supplements.
METHODS: An institutional-based, unmatched case-control study was conducted from 19 June 2023 to 4 September 2023, in East Shoa Zone public hospitals.
METHODS: 495 postpartum women (100 cases and 395 controls) were selected using systematic sampling techniques. Data were collected through face-to-face interviews and from medical charts using a pretested, structured questionnaire. The AOR with its corresponding 95% CI was used to identify determinant variables. Findings were presented in texts and tables.
METHODS: The medical charts of participants were reviewed to identify those who had developed puerperal sepsis.
RESULTS: Anaemia (AOR 6.05; 95% CI 2.57 to 14.26), undernourishment (AOR 4.43; 95% CI 1.96 to 10.01), gestational diabetes mellitus (AOR 3.26; 95% CI 1.22 to 8.74), postpartum haemorrhage (AOR 3.17; 95% CI 1.28 to 7.87), obstructed labour (AOR 2.76; 95% CI 1.17 to 6.52), multiparity (AOR 2.54; 95% CI 1.17 to 5.50), placenta previa (AOR 2.27; 95% CI 1.11 to 4.67) and vaginal examination ≥5 times (AOR 2.19; 95% CI 1.05 to 4.54) were the independent determinants of puerperal sepsis in this study.
CONCLUSIONS: This study found that gestational diabetes mellitus, anaemia, undernourishment, placenta previa, obstructed labour, postpartum haemorrhage and five or more per-vaginal examinations during labour were the determinants of puerperal sepsis. Therefore, it is recommended that obstetric care providers strictly adhere to guidelines on the number of vaginal exams that should be performed throughout labour and that they perform these exams using the appropriate infection-prevention techniques. In addition, they should provide comprehensive health education on nutrition during pregnancy and postnatal periods and the importance of iron supplements.
摘要：
目的：确定在东绍阿地区公立医院就诊的产后妇女中产褥期败血症的决定因素，埃塞俄比亚中部，2023年。
方法：基于机构的，无与伦比的病例对照研究于2023年6月19日至2023年9月4日在EastShoa区公立医院进行.
方法：采用系统抽样技术选择495名产后妇女（100例，395名对照）。数据是通过面对面的访谈和使用预先测试的医疗图表收集的，结构化问卷。AOR及其相应的95%CI用于确定决定变量。调查结果以文本和表格形式呈现。
方法：回顾了参与者的医学图表，以确定发生产褥期败血症的患者。
结果：贫血（AOR6.05；95%CI2.57至14.26），营养不良(AOR4.43；95%CI1.96至10.01)，妊娠期糖尿病（AOR3.26；95%CI1.22至8.74），产后出血（AOR3.17；95%CI1.28至7.87），难产(AOR2.76；95%CI1.17至6.52)，多重奇偶校验(AOR2.54；95%CI1.17至5.50)，在本研究中,前置胎盘(AOR2.27;95%CI1.11~4.67)和阴道检查≥5次(AOR2.19;95%CI1.05~4.54)是产褥期脓毒症的独立决定因素.
结论：这项研究发现妊娠期糖尿病，贫血,营养不良,前置胎盘,阻碍劳动，产后出血和分娩期间5次或更多次经阴道检查是产褥期败血症的决定因素.因此,建议产科护理提供者严格遵守有关在整个分娩过程中应进行的阴道检查次数的指南，并使用适当的感染预防技术进行这些检查。此外,他们应就怀孕和产后期间的营养以及铁补充剂的重要性提供全面的健康教育。
方法：基于机构的，无与伦比的病例对照研究于2023年6月19日至2023年9月4日在EastShoa区公立医院进行.
方法：采用系统抽样技术选择495名产后妇女（100例，395名对照）。数据是通过面对面的访谈和使用预先测试的医疗图表收集的，结构化问卷。AOR及其相应的95%CI用于确定决定变量。调查结果以文本和表格形式呈现。
方法：回顾了参与者的医学图表，以确定发生产褥期败血症的患者。
结果：贫血（AOR6.05；95%CI2.57至14.26），营养不良(AOR4.43；95%CI1.96至10.01)，妊娠期糖尿病（AOR3.26；95%CI1.22至8.74），产后出血（AOR3.17；95%CI1.28至7.87），难产(AOR2.76；95%CI1.17至6.52)，多重奇偶校验(AOR2.54；95%CI1.17至5.50)，在本研究中,前置胎盘(AOR2.27;95%CI1.11~4.67)和阴道检查≥5次(AOR2.19;95%CI1.05~4.54)是产褥期脓毒症的独立决定因素.
结论：这项研究发现妊娠期糖尿病，贫血,营养不良,前置胎盘,阻碍劳动，产后出血和分娩期间5次或更多次经阴道检查是产褥期败血症的决定因素.因此,建议产科护理提供者严格遵守有关在整个分娩过程中应进行的阴道检查次数的指南，并使用适当的感染预防技术进行这些检查。此外,他们应就怀孕和产后期间的营养以及铁补充剂的重要性提供全面的健康教育。
