SAGE open medicine · 2025
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.
СтатьяНазвание и аннотация: Перевод в очереди
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Abera Mangistu, Tetema Mesfin Difer, Zeleke Fentahun Tamene, Metebo Keyredin Nuriye, Derribow Aberash Beyene, Gelmesa Megertu Obsa, Benti Terefe Ayana, Gudeta Tolesa Gemeda, Dabala Obsa, Weldeyohans Meskerem Alemayehu, Gabure Shukulo Melese, Senbeta Mebratu Demissie
Аннотация
BACKGROUND: Existing evidence indicates an increasing burden of puerperal sepsis in sub-Saharan Africa. Across the world, due to a lack of self-care practice and less attention to puerperal sepsis, postpartum women are exposed to major disorders and life-threatening conditions, leading to a lower quality of life. Therefore, this study aimed to assess the knowledge of puerperal sepsis and self-care practices related to the prevention of puerperal sepsis.
METHODS: A facility-based cross-sectional study was conducted among 422 postpartum women in Gurage zone public hospitals from July to August 2024. A systematic sampling technique was employed to get the representative sample. Bivariate and multivariable logistic regression were done to identify factors associated with outcome variables; a p-value <0.05 was considered statistically significant.
RESULT: In this study, the response rate was 98.8%. The overall good knowledge and self-care practice were found to be 40.8% (95% confidence interval (CI): 36, 46) and 29.3% (95% CI: 25, 34), respectively. Educational status (Adjusted odds ratio (AOR) = 1.13; 95% CI: 1.10, 2.85 and AOR = 2.1; 95% CI: 1.64, 5.43), occupation (AOR = 2.01; 95% CI: 1.2, 3.4), and antenatal care (ANC) contact (AOR = 1.3; 95% CI: 1.23, 2.97) were associated with knowledge of puerperal sepsis. Multiparous (AOR = 1.2; 95% CI: 1.04, 3.14), ANC contact (AOR = 1.27; 95% CI: 1.15, 2.81), and knowledge (AOR = 4.3; 95% CI: 2.14, 9.31) were factors associated with the self-care practice of puerperal sepsis prevention.
CONCLUSIONS: This finding showed that 70.7% of postpartum women lacked good self-care practices of puerperal sepsis prevention. Hence, counseling and enhancing their knowledge of self-care practices should be provided to women to increase their awareness regarding puerperal sepsis prevention and self-care.
METHODS: A facility-based cross-sectional study was conducted among 422 postpartum women in Gurage zone public hospitals from July to August 2024. A systematic sampling technique was employed to get the representative sample. Bivariate and multivariable logistic regression were done to identify factors associated with outcome variables; a p-value <0.05 was considered statistically significant.
RESULT: In this study, the response rate was 98.8%. The overall good knowledge and self-care practice were found to be 40.8% (95% confidence interval (CI): 36, 46) and 29.3% (95% CI: 25, 34), respectively. Educational status (Adjusted odds ratio (AOR) = 1.13; 95% CI: 1.10, 2.85 and AOR = 2.1; 95% CI: 1.64, 5.43), occupation (AOR = 2.01; 95% CI: 1.2, 3.4), and antenatal care (ANC) contact (AOR = 1.3; 95% CI: 1.23, 2.97) were associated with knowledge of puerperal sepsis. Multiparous (AOR = 1.2; 95% CI: 1.04, 3.14), ANC contact (AOR = 1.27; 95% CI: 1.15, 2.81), and knowledge (AOR = 4.3; 95% CI: 2.14, 9.31) were factors associated with the self-care practice of puerperal sepsis prevention.
CONCLUSIONS: This finding showed that 70.7% of postpartum women lacked good self-care practices of puerperal sepsis prevention. Hence, counseling and enhancing their knowledge of self-care practices should be provided to women to increase their awareness regarding puerperal sepsis prevention and self-care.