Background: One of the top five leading causes of women deaths worldwide is
puerperal sepsis., preventive care bundle are the best nursing interventions based on evidence
applied in clinical practice for prevention puerperal sepsis. Aim: The present research aimed to
evaluate the effect of utilizing care bundle on prevention of puerperal sepsis among post-natal
women. Design: A quasi-experimental research design (study/control group, pre/post-test) was
utilized. Sample: A purposive sample of 100 women (pregnant women at 36 gestational weeks
and followed immediately after delivery). Setting: The present research conducted at the outpatient clinic of obstetrics & gynecology department and postnatal room (recovery room) at
Benha University Hospital. Tools: three tools utilized included: I- A structured interview
questionnaire, II-part one -knowledge assessment questionnaire, part two-care bundle practices
scale, III-the sepsis in obstetric score sheet. The results: there were highly statistical
significance improvements found at two weeks after delivery and forty days postnatal in the
total knowledge score of the study group compared to control ones (P ≤ 0.001). there was
statistically significant difference between study and control group immediately after delivery
in all elements of care bundles practices(Р-value0.05) while there was ahigh statistically significant difference at two weeks and forty
days postnatal of the study group compared to control ones (P ≤ 0.001).Conclusion: the
majority of the study group had good total knowledge scores and good total care bundle
practices scores for prevention of puerperal sepsis compared to less than the half of the control
group at two weeks after delivery and 40 days postnatal with highly statistical significance
improvements of the study group compared to control group (P ≤ 0.001). Also, the most of
study group had normal sepsis in obstetric scores compared to about two thirds of the control
group with highly statistical significance improvements (P ≤ 0.001). Recommendations: Care
bundle should recommend as evidence-based nursing interventions applied to postnatal women
for prevention of puerperal sepsis |
