Aneeta Rathore, Maharu-nissa Khaskheli, Jamil Ahmed, Roshan Ara Qazi, Raheel Sikander, Ramesh Kumar.
Outcomes of puerperal sepsis at a tertiary care hospital of Pakistan.
Pak J Public Health Jan ;5(4):46-9.

Introduction: Puerperal sepsis is considered as the leading cause of maternal morbidity and mortality in Pakistan. Hence, it is ranked in top ve causes of maternal deaths in country which can be averted through preventive measures. The objective of this study was to determine the patterns and outcomes of puerperal sepsis cases admitted to a major tertiary care hospital of Sindh Pakistan. Methods: This cross sectional study was carried out in Liaquat University of Medical & Health Sciences Hospital over a period of Six months. All patients admitted with diagnosis of puerperal sepsis were evaluated with thorough details of history and examination to determine their demographic details, obstetrical proles, presenting features, state of infectious morbidity, need for intervention and mortality related to puerperal sepsis. However, severe cases with complication and other diseases were excluded from the study. Data was collected on pre-tested, piloted, validated tool after taking the written consent. Results: Nearly half of the patients were between 15-25 years of age group and two thirds of them belong to poor families and about half of the woman had completed only primary education. Majority (65.7%) of the patients in our study has delivered in a local private or public sector hospital in their place of residence. More than half of the deliveries were 57.2% were normal vaginal deliveries, 36% took place normally but has required some assistance including episiotomy to deliver and 15% had delivered through caesarean section. Conclusion: Study concluded that puerperal infections occur at very high rate in young women. Most of such women had normal vaginal delivery mainly at home or in a health private or public health facility. Key words: Puerperal Sepsis, Maternal morbidity, Maternal mortality, Post partum haemorrhage, episiotomy and normal vaginal delivery.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com