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FACTORS CONTRIBUTING TO WOUND INFECTION AMONG CAESAREAN SECTION MOTHERS ATTENDING IGANGA HOSPITAL IN IGANGA DISTRICT
Caesarean section (CS) is a surgical procedure where an incision(s) is made through a mother's abdomen and uterus to deliver babies (WHO, 2015). WHO, recommends less than 15% of caesarean section deliveries globally but it exceeds that rate most especially in limited resource countries like Uganda where the health care systems are poor. This also results in adverse effects such as wound infection and septicemia. The study was meant to establish the social demographic, individual and health facility related factors contributing to wound infection among caesarean section mothers. A descriptive cross sectional study research design was used where a sample size of 120 respondents was selected by purposive sampling and data was collected using structured interviews. Social demographic factors that contributed to wound infection were; low age 46(38%), low levels of education 55(45%), 50(42%) low incomes, 50(42%) high parity and 51(43%) had a family sizes which made care difficult. Individual factors included; majority had prolonged labour which led to rapture of the tissues, 80(67%) irregular ANC attendance, 46(38%) poor nutrition, 94(78%) poor wound hygiene, 83(69%) lack of caretakers after surgery, 86(72%) resorting to work immediately after caesarean section and 76(63%) wounds after the caesarean section. Health care facility related factors were; majority 89(74%) did not easily access obstetric emergency care where 46(38%) travelled long distances to health facility, 109(91%) did not get all the drugs yet 83(69%) could not manage to buy those drugs which led to 55(66%) of them to use herbs while 68(57%) did not get enough information in the hospital about wound infection control. In conclusion, respondents had low levels of education, with low working experience and large family sizes which could have led to low income. This also could have led to failure to regularly attend antenatal care, access emergency obstetric care and afford to buy drugs after surgery and mothers never maintained proper wound hygiene. The health facility was very distant to most mothers, lacked enough drugs and never gave enough information on wound infection which all led to the problem. The researcher recommends that, enough information about wound infection should be given to mothers, more health centres with maternity services should be constructed should be well facilitated with enough drugs and all equipments.
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