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Subject Area

Family Medicine

Article Type

Original Study

Abstract

Objectives: To assess the prevalence of different types of postpartum infections and their risk factors among women attending family health facilities in Bir El-Abd district, North Sinai, Egypt. Background: The postpartum period is an imminent period among women; infection in this critical period is a preventable cause of maternal morbidity and mortality. Methods: An analytical cross-sectional study was conducted among a random sample of 220 women attending primary health facilities in Bir El-Abd district, North Sinai, during their postpartum period. They were assessed through a complete history taken via a pre-designed questionnaire. Complete general and local examinations were done through a checklist. Results: A total of 22 women had post-partum infections representing 10% of the study sample and distributed as the following: Mastitis (9; 40.9%), followed by urinary tract infection (7; 31.8%), endometritis (4; 18.2%), and wound infection (2; 9.1%). Factors independently associated with development of postpartum infections, were economic domain (OR 0.467), socioeconomic level (OR 0.882), diabetes mellitus (DM) (OR 19.677), obesity (OR 1.772), urinate a few drops despite the strong urge to urinate (OR 3.171), birth wound redness, swelling, or unbearable pain (OR 8.998). Conclusions: Postpartum infections were detected in one fifth of the study sample; the most common types were mastitis, followed by UTI, endometritis, and wound infection. Independent risk factors for postpartum infection included DM, obesity, urine urgency, birth wound redness, swelling, or unbearable pain while participants with highest in economic score and high socioeconomic level have reduced risk of postpartum infections by 46.7% and 88.2%.

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