Authors :
Dr. Kabita Sah Swarnkar; Dr. Rekma Swarnakar Sah; Dr. Ankur Sah Swarnakar Md; Dr. Nirmal Thapa; Dr. Mukesh Jaiswar; Dr. Akash Thakur; Dr. Rubi Thapa; Dr. Binamra Bist
Volume/Issue :
Volume 10 - 2025, Issue 7 - July
Google Scholar :
https://tinyurl.com/nhdwzvyw
Scribd :
https://tinyurl.com/yc6xdpdf
DOI :
https://doi.org/10.38124/ijisrt/25jul969
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Abstract :
Background:
Puerperal sepsis is a leading cause of maternal morbidity and mortality in Nepal’s rural districts. Timely intervention
and preventive strategies are essential to reduce preventable deaths.
Objective:
To assess the prevalence, clinical features, and contributing factors of puerperal sepsis in rural areas of Nepal, and to
propose mortality-reducing interventions.
Methods:
A retrospective record review was conducted across three rural hospitals in Dolpa, Humla, and Bajura districts from
June 2023 to May 2024. Data on postpartum women diagnosed with puerperal sepsis were collected and analyzed.
Results:
Among 642 deliveries, 48 (7.5%) developed puerperal sepsis. Eight maternal deaths occurred, yielding a case fatality
rate of 16.7%. Risk factors included home delivery (62.5%), delayed care-seeking, and poor hygiene.
Conclusion:
Puerperal sepsis in rural Nepal is a significant but preventable cause of maternal mortality. Community education,
improved hygiene, and health system strengthening are key strategies.
Keywords :
Puerperal Sepsis, Maternal Mortality, Rural Nepal, Postpartum Infection, Case Fatality.
References :
- Say L, Chou D, Gemmill A, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2(6):e323–33.
- Ministry of Health and Population (MoHP), Nepal. Nepal Demographic and Health Survey 2021. Kathmandu: MoHP; 2022.
- World Health Organization. WHO recommendations for prevention and treatment of maternal peripartum infections. Geneva: WHO; 2015.
- Tura AK, Scherjon SA, Zwart JJ, Stekelenburg J. Risk factors and outcomes associated with maternal infection in sub-Saharan Africa: a systematic review. BMC Pregnancy Childbirth. 2022;22:154.
- Pant PR, Neupane S, Maharjan L. Maternal health disparities in rural Nepal: A cross-sectional review. J Glob Health Rep. 2023;7:e2023022.
Background:
Puerperal sepsis is a leading cause of maternal morbidity and mortality in Nepal’s rural districts. Timely intervention
and preventive strategies are essential to reduce preventable deaths.
Objective:
To assess the prevalence, clinical features, and contributing factors of puerperal sepsis in rural areas of Nepal, and to
propose mortality-reducing interventions.
Methods:
A retrospective record review was conducted across three rural hospitals in Dolpa, Humla, and Bajura districts from
June 2023 to May 2024. Data on postpartum women diagnosed with puerperal sepsis were collected and analyzed.
Results:
Among 642 deliveries, 48 (7.5%) developed puerperal sepsis. Eight maternal deaths occurred, yielding a case fatality
rate of 16.7%. Risk factors included home delivery (62.5%), delayed care-seeking, and poor hygiene.
Conclusion:
Puerperal sepsis in rural Nepal is a significant but preventable cause of maternal mortality. Community education,
improved hygiene, and health system strengthening are key strategies.
Keywords :
Puerperal Sepsis, Maternal Mortality, Rural Nepal, Postpartum Infection, Case Fatality.
