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首页> 外文期刊>Nepal Journal of Obstetrics and Gynaecology >Puerperal Sepsis and its Cause in Patan Hospital
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Puerperal Sepsis and its Cause in Patan Hospital

机译：帕坦医院产后脓毒症及其病因

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Aims: This study was done to find out morbidity related with puerperal pyrexia/sepsis and its risk factors. Methods: This was retrospective study conducted from January 2011 to December 2012 at Department of Obstetrics and Gynaecology, Patan Hospital, Kathmandu, Nepal. All women who delivered in this hospital within 42 days of delivery with puerperal pyrexia/sepsis diagnosed on clinical examination and relevant investigations were included in the study. Women with malaria, typhoid fever and ??other fever were excluded. The data was recorded in predesigned proforma and analyzed. Results: During this period, there were 122 cases of puerperal pyrexia. Puerperal pyrexia accounted for 6.28% of 1945 admissions. Most of the women were aged between 20-29 years, primiparous and booked cases with absent membranes. The causes of puerperal pyrexia in our study were urinary tract infection (47.5%), wound infection (20.5%), endometritis (19.7%) retained product of conception (8.2%), pyoperitoneum (2.5%) and septicemia (1.6%). Conclusions: Puerperal pyrexia/sepsis is one of the causes of preventable maternal morbidity and mortality though in our study it was not proved to be very high in number. Optimal aseptic measures during labour can prevent most of the cases.
机译：目的：本研究旨在发现与产后发热/败血症相关的发病率及其危险因素。方法：这项回顾性研究于2011年1月至2012年12月在尼泊尔加德满都Patan医院妇产科进行。在临床分娩和相关调查中诊断为产后发热/败血症的42天内在该医院分娩的所有妇女均纳入研究。患有疟疾，伤寒和其他发烧的妇女被排除在外。数据记录在预先设计的形式表中并进行分析。结果：在此期间，有产褥期发热122例。产褥期发热占1945年入院人数的6.28％。大多数妇女年龄在20-29岁之间，初产且经预订的病例中没有膜。在我们的研究中，产褥期发热的原因是尿路感染（47.5％），伤口感染（20.5％），子宫内膜炎（19.7％）保留的受孕产物（8.2％），腹膜炎（2.5％）和败血病（1.6％）。结论：产褥期发热/败血症是可预防的孕产妇发病和死亡的原因之一，尽管在我们的研究中并没有被证明有很高的发病率。分娩期间的最佳无菌措施可以预防大多数情况。

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