Abstract

FACTORS RELATED TO SURGICAL SITE INFECTION FOLLOWING CESAREAN SECTION IN A BAGHDAD’S WOMEN

Dr. Bushra A. Najm* and Dr. Khawla Ali Majeed

Abstract

Background: Cesarean Section (CS) is one of the most commonly performed surgical procedures in an obstetrical and gynecological department. Surgical site infection (SSI) after a cesarean section increases maternal morbidity with prolongs hospital stay and increased medical costs. Objective: The aim of this study was to identify the associated factors with surgical site infection among cesarean section cases. Methods and patients: A prospective, descriptive study was conducted at Al-Krkh Hospital, Department of Obstetrics and Gynecology from first of January to 30th of Jun 2017, we selected convenient sample of 200 women who underwent a surgical procedure for delivery during the study period were included in the study. Data were collected from the patient by direct interview with the participants using a structured questionnaire and examination of wound till discharge was done. Data Statistical analyses were done using SPSS. Result: Out of the 200 women involved, 23(11.5%) of them had SSI, which represents the incidence rate of SSI post-CS in our setting and 177 (88.5%) of them were non-infected wound. The mean age was 29 years and the most prevalent age was from 29-40 years (74%), the mean BMI of women was 27.20 and without any significantly associated between age women, BMI and SSI after cesarean section (p=0.066), (P=0.509). SSI was found to be common in women who had an emergency cesarean section (p=0.005), rupture of membrane before surgery (p=0.020), the women who had vertical skin incision (p=0.001) and subcuticular skin suturing (p=0.001) during surgery. Conclusion: The most important factors that related to SSI after CS, were modifiable factors, would lead obstetricians to pay more attention during daily practice.

Keywords: Cesarean Section (CS), surgical site infection (SSI).