Volume 10

Number 02 July 2020
Post Cesarean Wound Infection: Incidence and Risk Factors- An Observational Study

DOI: NO DOI Assigned

Iffana Azam1 , Fahima Ara Khanam2 , Mohshsina Khatoon3 , Ehsan Ali4 , Shahana Fedous Choudhury5 , Lubna Yeasmin6

Background: Caesarean section (CS) is a common operation in obstetric practice. In CS, wound infections constitute a significant problem in surgical procedures. Methods: This is an observational type of cross sectional study was carried out to evaluate the incidence and risk factors of post cesarean wound infection at the Department of Gynecology and Obstetrics, Sylhet Women's Medical College Hospital. Total 80 pregnant women who developed wound infection following lower segment caesarian section considered for the study population. Results: During the study, 36.7% patients were nulliparas followed by 54.2% patients were overweight, 84.6% were housewife. Total 2200 LUCS in last 12 months and total CSI incident was 80. Incident rate were 4%. According to clinical risk factor of Post cesarean wound infection 43.9% cases types of all incision were horizontal/transverse no vertical incision, 65% had anemia, 35% had DM, 76.3% subcuticular types were seen in Skin Suturing case and PROM were seen 29% casess. According to operative risk factor of post cesarean wound infection where 100% cases antibiotic was used preoperative and post operatively followed, 80% patients stayed in hospital for 4 to 5 days, 52.6% cases operative time was >1hour and 20% patients stayed in hospital for 6 to 7 days. Also, emergency of CS, DM, PROM, preoperative anemia, rupture of membrane, microbial infection, obesity found as a significant risk factor for SSI occurrence. Conclusion: It is high time to pay more attention during daily practice, and paving a roadmap to prevent or decrease the rate of post CS infections. In addition, identifying risk factors, particularly modifiable ones that may be related to the woman, pregnancy, or to the procedure itself and implementing approaches to prevent, diagnose, and treat infection in time are all vital steps for reducing the occurrence of SSI and its consequences.