© 2020 Scholars Journal of Applied Medical Sciences | Published by SAS Publishers, India
2625
Scholars Journal of Applied Medical Sciences
Abbreviated Key Title: Sch J App Med Sci
ISSN 2347-954X (Print) | ISSN 2320-6691 (Online)
Journal homepage: https://saspublishers.com
The Wound Infection Following Caesarean Section
Dr. Begum Shamsun Naher Shirin
1*
, Dr. Rawshan Ara Khanam
2
, Dr. Sheikh Firoz Kabir
3
, Dr. Sabina Parveen
4
, Dr.
Binoy Krishna Golder
5
, Dr. Fatema Ruhane
6
1
Associate Professor, Current Charge, Gynae, US Bangla Medical College, Dhaka, Bangladesh
2
Professor, Gynae, US Bangla Medical College, Dhaka, Bangladesh
3
Professor, General and Laparoscopic Surgeon, Principal of US Bangla Medical College Hospital, Dhaka, Bangladesh
4
Assistant Professor, Gynae, US Bangla Medical College, Dhaka, Bangladesh
5
DGO, Assistant Professor, Department of Gynae, Patuakhali Medical College, Patuakhali, Bangladesh
6
HMO, Mugda Medical College and Hospital, Dhaka, Bangladesh
DOI: 10.36347/sjams.2020.v08i11.041 | Received: 12.10.2020 | Accepted: 26.10.2020 | Published: 28.11.2020
*Corresponding author: Dr. Begum Shamsun Naher Shirin
Abstract Original Research Article
Objective: In this study our main objective is to evaluate the wound infection following caesarean section. Method:
This cross-sectional study was done at Department of Obstetrics & Gynaecology in tertiary Medical College Hospital
from July 2018 December 2019. Where 98 patients who develop wound infection after caesarean section in the study
period was taken as case. Another 100 patients were taken as control. Result: During the study maximum patients in
case (17.3%) and control (15%) group belong to age group 20 to 24 years and among 1050 caesarean section
98(9.33%) patients develop wound infection. Also 97 case group patients and 95 control group faced emergency
operation. Conclusion: After many examinations we can conclude that all pregnant women should have ante natal
check up by trained personals also they need Health education. Further study is needed for better outcome.
Keywords: Wound infection, cesarean delivery, bacteria.
Copyright © 2020 The Author(s): This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International
License (CC BY-NC 4.0) which permits unrestricted use, distribution, and reproduction in any medium for non-commercial use provided the original
author and source are credited.
INTRODUCTION
Caesarean section is a major abdominal
surgery and most common operation done by
obstetrician. The past several decades have seen an
increase in the incidence of caesarean section. The
WHO estimates the caesarean section at between 10-
15% of all births in developed countries. Reports
indicated a range of 18 to 83% in the incidence of post-
operative infectious complication where prophylactic
antibiotics have not been utilized." Wound infection has
been reported in 2-16% of all women who have
caesarean
Infection increases the discomfort and
disability experienced by patients following surgical
procedure including caesarean section and in their most
severe form may endanger life. The main determinants
of infection are the Virulence of microorganisms, the
host defense mechanism and the environment and there
is continuous interaction between these three factors.
Wound infection results from bacterial contamination of
the wound. Infection rate is proportionate to number of
bacteria, type of bacteria, incision involving mucous
surface and the site of existing infection in the body.
In caesarean section the source of infecting
organism may be, endogenous from the patient,
contamination from the air in the operation theatre and
direct such as from the punctured gloves. The following
risk factors predispose to subsequent wound infection in
women undergoing caesarean section - obesity,
diabetes, prolonged hospitalization before caesarean
section, prolonged rupture of the membrane,
chorioamnionitis, endomyometritis, prolonged labour,
emergency rather than elective indications for caesarean
section and anemia. Infection and breakdown of
wounds are also results of poor surgical technique
(dead. space, hematoma) [1, 2].
Gynaecology