Prevalence of and Factors Associated with Puerperal Sepsis Among Postpartum Women at A Regional Referral in Uganda

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Background:Puerperal sepsis remains a significant contributor to maternal mortality and morbidity in Uganda despitegovernment efforts to improve prevention and management through the provision of supplies, equipment, andtraining for healthcare workers.Aim:This study aimed to assess the prevalence of puerperal sepsis and identify associated factors among postpartumwomen in LRRH, Lira CityMethod:An institutional-based cross-sectional study design was employed to systematically recruit 230 study participantsfrom March 2023 to May 2023. The study included all postpartum mothers in the postnatal ward who were willingto participate, excluding those who were critically ill and could not communicate. Any mother who presented withthree or more signs and symptoms was considered to be infected. Data was entered into SPSS version 26 for ANDanalyzed using descriptive and inferential statistics with a p-value of <0.05 and a CI of 95%.Results:The prevalence of puerperal sepsis was high (9.1%). Of this, almost all (90.5%) were delivered from the hospital, andthe majority (66.7%) were delivered by caesarean section.Conclusion and recommendation:Puerperal sepsis is high in the study area. Place of delivery, antibiotic prophylaxis, mode of delivery, and antenatalcare attendance were significant factors. Proper spacing of postnatal beds, administration of antibiotic prophylaxisbefore invasive procedures, managing risk factors that lead to caesarean section, and promoting antenatal careattendance will help reduce the prevalence of puerperal sepsis.

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