الفهرس | Only 14 pages are availabe for public view |
Abstract Puerperal sepsis is considered as one of the main direct causes of maternal morbidity and mortality worldwide. It is caused by pathogens as Escherichia coli (E. coli) closely followed by group A Streptococcus. The risk of puerperal sepsis is higher among women with sexually transmitted diseases, premature rupture of membranes, retained products of conception, diabetes, and cesarean section, postpartum hemorrhage, anemia, poor nutritional status, history of previous complications of labor and poor infection control. It is a danger morbid condition because of its adverse maternal and neonatal complications as pelvic cellulitis, salpingitis, peritonitis, septicemia, neonatal sepsis and pneumonia. Early diagnosis and timely recognition is the most crucial step in the management of puerperal sepsis. The management depends on two approaches; prevention of infection during ante, intra, and postnatal period as well as treatment of the already existing cases. Obstetrical nurses play an important role to develop multidisciplinary approach and intervention plans which can be provided to women during ante, intra, and postnatal period to prevent and reduce the occurrence of puerperal sepsis. |