PREVALENCE OF POST CAESARIAN SECTION INFECTION AND IT’S ASSOCIATED FACTORS IN WOLKITE UNIVERSITY SPECIALIZED TEACHING HOSPITAL, WOLKITE, ETHIOPIA

Abstract

Introduction: Caesarean section (CS) refers to the delivery of fetus, placenta, and membranes through an abdominal and uterine incision. Post cesarean infection remains the most common complication of CS. Infection is one member of the deadly triad of pregnancy related maternal death along with hemorrhage and hypertension and it costs many billions dollars per year.Objective: the study was aimed to determine the prevalence and associated factors of post c/s infection at WUSH, Gurage Zone, SNNPR, Ethiopia from June 30, 2021 to June 30, 2022.Methodology: A retrospective cross sectional study design on prevalence of post caesarian section infection and its associated factors was done in wolkite university specialized teaching hospital, Wolkite ,Ethiopia by using structured questionnaires prepared by kobo collect app. The data analyzed using SPSS software version 21 with descriptive statistics and regression Results: The prevalence of post cesarean section infection was 9.2%. The chance of developing infections for labor more than 24hr before CS (AOR=1.48; 95% CI (0.2, 5.06), pre-op hemoglobin <11g/dl (AOR=2.34; 95% CI (1.01, 5.4), Chorioamnionitis (AOR=5.05; 95% CI(0.4, 7.3), rupture of membrane >12hrs [(AOR =2.57, 95%CI :( 0.58, 11.3)], emergency CS (AOR=5.5; 95% CI (0.7, 8.1) were factors associated with post-CS infection.Conclusion: Post cesarean infection remains a problem of health in our hospital. Infection occurring after delivery may lead to substantial physical and emotional burden to mothers. The development of post cesarean section infection is associated with many factors rather than one factor. Recommendations: we suggest the appropriate use of partograph for monitoring labor, respect of rules of the prevention of infections during delivery, treatement for anemia during Antenatal care and medical staff responsible for the procedure should be familiar with aspects of the procedure that have been evaluated in good clinical trials to reduce this burden.