الفهرس 
Chapter (1): Postpartum infectionsOnly 14 pages are availabe for public view
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Abstract
During the puerperium, women have an increased risk of infection. The most common infections associated with childbirth are endometritis, infections in perineal or cesarean wounds, UTI and mastitis. All of these postpartum infections have been reported to predominantly present after discharge from hospital. The prevalence of infections has therefore been reported to be at various levels, depending on health care systems, the availability of health care, mode of surveillance and different definitions. Postpartum infection is the most common cause of prolonged hospital stay and the second most common cause of readmission after childbirth, regardless of mode of delivery.
Objective was to assess percentage of different types of post partum infections and risk factors of different types of post partum infections among women attending family health facilities in Bir El_ Abd district, North Sinai among women attending family health facilities in Bir El_ Abd district, North Sinai.
This cross sectional study was conducted on 220 women 40 days after delivery attending primary health facilities in Bir El-Abd district, North Sinai.
Our study patients had mean age of 28.9±5.5 years (range 20-38), mean±SD of age of husbands is 35.2±6.1 years (range 24-41), mean ± SD of family number is 5±1 (range 3-9), mean±SD of marriage duration is 9±3.8 years (range 2-19), and mean±SD distance of nearest family health facilities is 12.5±4.5 km (range 1-20).
In the currents study, 128 (58.2%) of patients had low socio-economic level, 79 (35.9%) had moderate level and 13 (5.9%) had high level.
In this table, participants had mean gravidity of 5±1 and mean abortion of 4±1. 117 (53.2%) of participants had hypertension, 145 (65.9%) had diabetes mellitus, 123 (55.9%) of patients had PROM. Most of participants delivered by CS 189 (85.9%) and had anemia 162 (73.6%).
In this study, participants had mean weight of 72.4±9.8 kg, mean height of 164.5±11.5 cm and mean BMI of 28.3±2.3 kg/m2.
The most common complain among the study participants 9(4.1%) had breast pain with a high temperature and the appearance of red, hot, painful areas, 7(3.2%) had pain in the lower abdomen and pelvis with burning during urination and urinate a few drops despite the strong urge to urinate. 22(10%) of participants in this study had postpartum infections.
The most common post-partum infections were mastitis 9(4.1%), followed by UTI 7(3.2%), then endometritis 4(1.8%) and wound infection 2(0.9%).
This study illustrates that both the economic status and the socioeconomic level possess a protective effect upon the risk of occurrence of postpartum infections, where participants scoring highest in the economic score have reduced risk of postpartum infections by 46.7%. Also, participants with high socioeconomic level have reduced risk of postpartum infections by 88.2%.
On the other hand, all of DM, frequency of urination, and Birth wound affection are associated with a significantly increased risk of postpartum infections by 19, 3, and 8 times more that the participants not suffering from these symptoms.