Dare F O, Bako A U, Ezechi O C
Department of Obstetrics and Gynaecology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Trop Doct. 1998 Apr;28(2):92-5. doi: 10.1177/004947559802800212.
Patients with puerperal sepsis following delivery at Ife State Hospital (ISH) of Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) Ile-Ife over a 10-year period spanning January 1986 to December 1995 were reviewed. One hundred and forty-six patients were diagnosed as having puerperal sepsis and there were 8428 deliveries giving an incidence of 1.7%. The incidence was higher among the unbooked patients 71.2%. Predisposing factors were: anaemia in pregnancy, 69.2%; prolonged labour (labour lasting up to 12 h or more), 65.7%; frequent vaginal examinations in labour (more than five), 50.7%; premature rupture of membranes, 31.5%; and non-adherence to asepsis during delivery. The case mortality rate was 4.1%. Antenatal care and supervised hospital delivery should be encouraged in order to prevent or reduce this serious post-partum morbidity.
对1986年1月至1995年12月这10年间在奥巴费米·阿沃洛沃大学教学医院综合院区（OAUTHC）伊费分校的伊费州立医院（ISH）分娩后发生产褥期败血症的患者进行了回顾性研究。146例患者被诊断为产褥期败血症，分娩总数为8428例，发病率为1.7%。未预约患者中的发病率更高，为71.2%。诱发因素包括：孕期贫血，占69.2%；产程延长（产程持续达12小时或更长时间），占65.7%；分娩期间频繁的阴道检查（超过5次），占50.7%；胎膜早破，占31.5%；以及分娩期间未遵守无菌操作。病例死亡率为4.1%。应鼓励进行产前护理和在医院监督下分娩，以预防或减少这种严重的产后发病率。
