Postoperative infection in pregnant women who undergo cesarean section at a tertiary hospital in Dhaka, Bangladesh: a descriptive cross sectional study

Abstract

Objective: Infection is the most common cause of mortality and morbidity in pregnant women during cesarean section. Hence this study was undertaken to study the incidence of postoperative infection after cesarean section at first referral units and identify microorganisms as well as risk factors leading to it. Methodology: The descriptive cross sectional study included 1117 patients undergoing cesarean section in Maternal and Child Health Training Institute (MCHTI), Azimpur, Dhaka, Bangladesh. Patients' demographics, antibiotics used with dosages were recorded. Investigations like pus culture, blood and urine culture were recorded for patients with postoperative complications. Change of antimicrobial following culture sensitivity which occurred at 3rd party laboratory outside of the hospital; report was noted. Result: Most of the patients were upper lower class (45.33%), C the common risk factor can be Body Mass Index (BMI) and along with that anemia and hemoglobin can also be considered as risk factors for those who have undergone Cesarean Section(CS). Hence, the most common pathogen was Escherichia coli 22 (37.93%) and the second most common pathogen was Klebsiella 17(29.32%). The use of third generation cephalosporin (ceftriaxone) in the majority of the patients was observed. Two drugs combination commonly included third generation cephalosporin and metronidazole and in addition gentamicin was added when three drugs combination was used. Conclusion: Cesarean Section (CS) women who were infected by postoperative infection bearing some risk factors shown by this investigation. Risk variables discovered were higher body weight,diabetes, anemia, hemoglobin level. Fundamentally, the data were comparable to those from other nations. Using risk-reducing strategies that are supported by research, as other people have reported, will improve results.