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Archives of Gynecology and Obstetrics

, Volume 285, Issue 4, pp 913–917 | Cite as

Risk factors and microbial isolates of puerperal sepsis at the University of Maiduguri Teaching Hospital, Maiduguri, North-eastern Nigeria

  • Babagana BakoEmail author
  • Bala M. Audu
  • Zara Mairam Lawan
  • Jidda Baba Umar
Maternal-Fetal Medicine

Abstract

Purpose

To determine the risk factors and microbial isolates of puerperal sepsis.

Methods

A 12 year retrospective review of patients with puerperal sepsis from January 1999 to December 2010 at the University of Maiduguri Teaching Hospital (UMTH) was conducted. Information on socio-demographic characteristics, clinical presentations, place and mode of delivery and microorganism isolated from the endocervical swabs was collected and analysed. Comparison was also made with the other women that delivered during the period of study.

Results

The incidence of puerperal sepsis was 0.78%. Majority (88.0%) of the patients were unbooked, 59.1% delivered at home and 23.1% delivered in other peripheral hospitals. The major risk factors for developing puerperal sepsis were unbooked status, home delivery, perineal trauma, caesarean section (C/S) and maternal age <24 years with OR of 56.60, 39.25, 8.52, 4.99 and 1.32, respectively. The commonest microorganism isolated were Staphylococcus aureus and Escherichia coli seen in 35.4 and 20.9%, respectively. Streptococcus species was found in 6.9%, while 20.3% had polymicrobials isolated.

Conclusion

Puerperal sepsis continues to present a significant risk of maternal mortality in developing countries. The risk factors are unbooked women, home delivery, perineal trauma, caesarean section and maternal age <24 years. S. aureus and E. coli are the commonest isolated organisms. There is a need to enlighten the populace on the need for booking, skilled attendant at delivery and hospital delivery under aseptic conditions.

Keywords

Puerperal Sepsis Caesarean Perineal Trauma Mortality Polymicrobial 

Notes

Conflict of interest

No actual or potential conflict of interest in relation to this article exists.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Babagana Bako
    • 1
    Email author
  • Bala M. Audu
    • 1
  • Zara Mairam Lawan
    • 1
  • Jidda Baba Umar
    • 2
  1. 1.Department of Obstetrics and GynaecologyUniversity of Maiduguri Teaching HospitalMaiduguriNigeria
  2. 2.Department of MicrobiologyUniversity of Maiduguri Teaching HospitalMaiduguriNigeria

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