Scientific letter

Puerperal infection after caesarean section at Chris Hani Baragwanath Academic Hospital, Johannesburg

A N Johnson, E J Buchmann

Abstract


Objectives. To determine the incidence of puerperal sepsis after caesarean section (CS) at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa.

Methods. A longitudinal descriptive study was done on women undergoing CS, with follow-up for readmission or development of sepsis, including telephone calls 14 days after delivery. Puerperal sepsis was defined as fever (temperature ≥38oC) with vaginal bleeding, malodorous discharge or pain. Women who telephonically reported pain, bleeding or malodorous discharge were classified as having possible mild wound infection.

Results and conclusion. A total of 272 women were followed up. Four (1.5%) were readmitted with puerperal sepsis, and 30 (11.0%) had possible mild wound infection. There were no significant differences between women with no evidence of infection (n=238) and those with possible infection or puerperal sepsis (n=34) with respect to indicators of socio-economic status, antenatal care attendance, antenatal anaemia, HIV status, preterm birth, elective CS or skin incision used.

Authors' affiliations

A N Johnson, Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta

E J Buchmann, Department of Obstetrics and Gynaecology, Chris Hani Baragwanath Academic Hospital and University of the Witwatersrand, Johannesburg

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Keywords

Caesarean section; Puerperal sepsis, Reproductive health in Africa

Cite this article

South African Journal of Obstetrics and Gynaecology 2012;18(3):90-91. DOI:10.7196/sajog.559

Article History

Date submitted: 2012-05-21
Date published: 2012-09-06

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