Ali Hassan Nur, Tahlil Abdullahi Ahmed, Mohamud Mahad Ali, Daud Fuad Ismail, Gobena Tesfaye, Umeokonkwo Chukwuma David, Ibrahim Ahmed Mohammed
Collage of Medicine and Health Science, Jigjiga University, Jigjiga, Somali Regional State, Ethiopia.
Faculty of Medicine and Health Sciences, Zamzam University of Science and Technology, Mogadishu, Somalia.
BMC Pregnancy Childbirth. 2025 Sep 2;25(1):919. doi: 10.1186/s12884-025-08054-5.
Puerperal sepsis is a significant public health concern in low-resource settings, including Ethiopia, where it is a major contributor to maternal mortality, accounting for 13% of maternal deaths. We investigated the determinants of puerperal sepsis among mothers who give birth at Jigjiga Public Hospitals, Somali Regional State, Eastern Ethiopia.
A facility-based unmatched case-control design was employed, with a sample size of 226 (76 cases and 151 controls). The study was conducted at two public hospitals in Jigjiga, Eastern Ethiopia, from January 2022 to December 2022. Data was collected using a standardized structured questionnaire and medical record review. Data were analyzed using SPSS software version 26. Multivariate logistic regression analysis was used to identify the determinants of puerperal sepsis. The level of significance was set at 0.05.
The mean age of the mothers was 30.2 ± 10.2 years for cases and 31.5 ± 6.7 years for controls. The results showed that Advanced maternal age (≥ 35 years) (AOR = 3.01; 95% CI: 1.02–8.83), fewer than three antenatal care (ANC) visits (AOR = 3.84; 95% CI: 1.75–8.43), undergoing five or more pelvic examinations during labor (AOR = 5.81; 95% CI: 1.68–20.13), and the presence of maternal anemia (AOR = 4.35; 95% CI: 2.33–8.13) were determinants of puerperal sepsis.
This study found that advanced maternal age (≥ 35 years), attending fewer than three antenatal care (ANC) visits, undergoing five or more pelvic examinations during labor, and the presence of maternal anemia are significant determinants independently associated with an increased risk of puerperal sepsis. To reduce the risk of puerperal sepsis, efforts should focus on improving antenatal care coverage, minimizing unnecessary pelvic examinations, managing maternal anemia, and ensuring proper perineal care through adherence to clinical guidelines.
产褥期败血症是包括埃塞俄比亚在内的资源匮乏地区的一个重大公共卫生问题，在该国它是孕产妇死亡的主要原因之一，占孕产妇死亡人数的13%。我们调查了埃塞俄比亚东部索马里州吉吉加公立医院分娩的母亲中产褥期败血症的决定因素。
采用基于机构的非匹配病例对照设计，样本量为226例（76例病例和151例对照）。该研究于2022年1月至2022年12月在埃塞俄比亚东部吉吉加的两家公立医院进行。数据通过标准化的结构化问卷和病历审查收集。使用SPSS 26版软件进行数据分析。采用多因素logistic回归分析来确定产褥期败血症的决定因素。显著性水平设定为0.05。
病例组母亲的平均年龄为30.2±10.2岁，对照组为31.5±6.7岁。结果显示，高龄产妇（≥35岁）（调整后比值比[AOR]=3.01；95%置信区间[CI]：1.02–8.83）、产前检查（ANC）次数少于三次（AOR=3.84；95%CI：1.75–8.43）、分娩期间接受五次或更多次盆腔检查（AOR=5.81；95%CI：1.68–20.13）以及产妇贫血（AOR=4.35；95%CI：2.33–8.13）是产褥期败血症的决定因素。
本研究发现，高龄产妇（≥35岁）、产前检查次数少于三次、分娩期间接受五次或更多次盆腔检查以及产妇贫血是与产褥期败血症风险增加独立相关的重要决定因素。为降低产褥期败血症的风险，应努力提高产前检查覆盖率、尽量减少不必要的盆腔检查、管理产妇贫血，并通过遵循临床指南确保适当的会阴护理。
