ArticleContraception and reproductive medicine2024
Determinants of puerperal sepsis among postpartum women at a tertiary care hospital in Ethiopia: an unmatched case-control study.
Article in Contraception and reproductive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- Burden and determinants of puerperal sepsis in Ethiopia: a systematic review and meta-analysis.European journal of medical research · 2025Pooled it
- Self-care practices for puerperal sepsis prevention and their determinants among postpartum women: a community-based cross-sectional study in Halaba Town, Central Ethiopia.Primary health care research & development · 2026Article
- Determinants of puerperal sepsis among mothers who give birth at Jigjiga Public Hospitals, Jigjiga, Somali Regional State, Eastern Ethiopia: a facility-based unmatched case-control study.BMC pregnancy and childbirth · 2025Article
- Knowledge of puerperal sepsis, self-care practices of puerperal sepsis prevention and associated factors among postpartum women in the Gurage zone, Central Ethiopia: Multicenter study.SAGE open medicine · 2025Article
- Risk factors for puerperal sepsis among postpartum women attending public hospitals in the Dawro Zone, Southwest Ethiopia: Unmatched case‒control study.Women's health (London, England)Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPuerperal sepsis, is a significant factor in maternal morbidity and mortality, especially in regions with lower income levels where maternal mortality rates are highest. However, it can be largely avoided if detected in time. Recognizing and dealing with the root causes early is essential in addressing this problem. Therefore, this study aimed to identify the determinants of puerperal sepsis among postpartum women at a tertiary care hospital in Ethiopia.
methodsAn institutional-based unmatched case-control study was conducted among 266 postpartum women (88 cases and 178 controls) from October 1, 2023 to November 30, 2023. For each case, two controls were chosen using a systematic random sampling approach. Data were collected using an interviewer-administered, structured questionnaire and medical record review. The collected data were entered into Epi Info version 7.2 and analyzed using SPSS version 27. Binary logistic regression analysis was used to model the association between puerperal sepsis and independent variables. variables that had a crude association in the bivariable analysis (p < 0.25) were entered and analyzed by a multivariable binary logistic regression model to identify statistically significant factors. In the final model, Adjusted odds ratios with their 95% confidence intervals were calculated to determine the strength of the association. Statistical significance was declared at p < 0.05.
resultRural residence (AOR = 6.9; 95% CI:2.77-17.10), having no formal education (AOR = 3.8; 95% CI: 2.55, 10.76), cesarean section delivery (AOR: 5.1; 95% CI: 1.30, 11.00) and complication during pregnancy (AOR: 4.6, 95% CI: 1.96, 11.10) were independent determinants of puerperal sepsis.
conclusionPlace of residence, maternal education level, mode of delivery, and complication during pregnancy were determinants of puerperal sepsis. It is crucial to implement education and awareness initiatives aimed at mothers, ensure universal access to healthcare services, advocate for evidence-based delivery protocols, and conduct comprehensive antenatal screenings.
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