Clinical Presentation and Mortality of Women Presented with Puerperal Sepsis at Tertiary Care ...

The aim of this study was to assess the clinical presentation and mortality of women who were admitted to a tertiary care hospital with puerperal sepsis. Materials and Methods: From April 2018 to March 2019, a cross-sectional analysis was performed at Liaquat University of Medical and Health Sciences' obstetrics and gynaecology department. Women over the age of 15 who had sepsis after birth and had a spontaneous vaginal delivery, an instrumental or episiotomy vaginal delivery, or a caesarean section were included in the study. The research proforma was used to record all of the results, including clinical characteristics and mortality. SPSS version 20 was used to analyse the data. The majority of the patients (46.6%) were between the ages of 26 and 35. The majority of the patients were delivered by natural vaginal delivery (NVD), with 37.9% having a caesarean section and 13.8 percent having an NVD with episiotomy. Fever was present in almost all cases, and other symptoms included abdominal pain, vaginal discharge, wound infection, and breast tenderness. According to the maternal result, 24.1 percent of patients were admitted to the intensive care unit (ICU), 34.5 percent spent more time in the hospital, and 10.3 percent died. The maternal result did not vary significantly depending on the mode of delivery; the p-values were negligible. Conclusion: Puerperal sepsis was found to be a significant contributor to maternal adverse outcomes. Fever, abdominal pain, and vaginal discharge were all common clinical characteristics.

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