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2023 Faculty of Clinical Medicine and Dentistry INOSR APPLIED SCIENCES

The determinants and Prevalence of Post Cesarean Sepsis among Post- Operative Women in Kapchorwa District Hospital, Kapchorwa District

Chebet, Victor

This study assessed the determinants and prevalence of post-cesarean sepsis in post-operativewomen in Kapchorwa District Hospital between the periods of 1st June to 31st October 2022. Adescriptive cross-sectional study was done among post-operative women at Kapchorwa DistrictHospital involving 215 mothers who consented to participate in the study. Structuredquestionnaires were used to collect data according to the study objectives. The study showedthat only 41(19%) had developed sepsis and that being between 29 to 38 years of age was asignificant factor in having sepsis, with an odds ratio of 0.35(0.92-12.20) and P- value of 0.001.The study showed among mothers who had post-cesarean sepsis majority of 22(53.7%) werepeasant farmers and for those who didn’t get sepsis majority of 77(44.3%) were peasant farmersas well. Furthermore, of those who had had sepsis, the majority 31(75.0%) were those of primarylevel of education, the study also showed that parity of the mothers did not influence theoccurrence of sepsis, at an odd ratio of 2.42(1.47-8.50) and p-value of 0.875, The study alsoshowed that lack of adequate post-natal care was a significant factor in leading to theoccurrence of sepsis, with an odds ratio of 4.60(1.51-17.25) and p-value of 0.001, in which themajority 26(62.5%) of the those who got sepsis said they had not been given any healtheducation with, those 26(62.5%) who developed sepsis saying the cost of care was high, thosewho did not get sepsis 113(64.7%) also could not afford the high cost of health care. Theprevalence of post-cesarean sepsis according to the study above is still high among postcesareanmothers admitted at Kapchorwa District Hospital. Mothers between the ages of 29 to38 years remain the most common age group with post-cesarean sepsis according to the studyabove, mothers who had a primary school level of education had the highest cases of postcesareansepsis according to the study above, the researcher also found that there was norelationship between parity and occupation, and occurrence post cesarean sepsis amongmothers from the study above. From the study above lack of adequate post-natal care wassignificantly associated with post-cesarean sepsis among mothers, also found that lack of healtheducation was significantly associated with the occurrence of post-cesarean sepsis amongmothers, the study also found that failure of mothers to receive prescribed drugs after thecesarean section had a significant association with the occurrence of post-cesarean sepsis, highcost of health care also remains a significant cause of post-cesarean sepsis according to thestudy above.