Abstract:
BACKGROUND
The post cesarean section infection occurs after deliver by cesarean section, it is an important
problem that increases maternal morbidity, cost and length of stay.
Post cesarean section infection (PCSI) has an impact on increased cost of inpatient care, causing
overcrowding and a long term disabilities for mother and increase burden of patient and hospital.
The availability of wound dressing material is among preventive measures to post cesarean
section infection. The shortage of materials was a main cause of the post cesarean section
infection in Bushenge Hospital. The objective was to decrease post cesarean section infection
rate by increasing the wound dressing materials from 7.2% in December 2016 to 3% by March
2017.
METHODOLOGY
A Pre and post intervention design was used in this project. By increasing wound dressing
materials (individual kit) helped in decreasing the rate of post cesarean section infection.
RESULTS
Out of 69 cesarean section per month in the pre intervention period, 5 (7.2%) developed the Post
cesarean section infection. In the post intervention period, 2 out of 59 (3.3%) developed post
cesarean section infection. The PCSI rate decreased from pre intervention of 7.2% to 3.3% post
intervention, with P< 0.001. There was a 3.9% statistically significant decrease in the rate of post
cesarean section site infection.
v
The overall wound dressing material (individual kit) was 25% in pre intervention and increased
to 100% in post intervention, with P˂0.08.
The performance in wound dressing was 25% in pre intervention and increased to 90% in post
intervention, with P˂0.05
CONCLUSION AND RECOMMANDATION
As conclusion, there was a reduction of the the percentage of Post cesarean section infection rate
from 7.2% to 3.3%..
It is necessary to continue the data monitoring on Post cesarean section infection. Availing and
increasing all necessary wound dressing material in order to enhance the aseptic procedure is
recommanded.
Regular and continuous in service training in order to reflesh the staff and uptodate them is also
very important.
