Peritonitis following caesarean section in a low-resource setting

BMJ Case Rep. 2024 Oct 17;17(10):e260497. doi: 10.1136/bcr-2024-260497.

Abstract

Maternal sepsis is the third-leading cause of maternal death worldwide, and caesarean section is an important risk factor for developing maternal infection. In this case, we present a patient with peritonitis following a caesarean section in a low-resource setting. Severe infections are familiar to medical staff in such settings; however, there is insufficient evidence regarding their incidence and optimal management. The case highlights the problem of limited access to microbiological testing and antibiotic availability, restricting management options. Furthermore, suboptimal quality of care in healthcare facilities and delays in presentation hamper early detection and efficient treatment of maternal infections. These issues must be addressed to reduce cases of maternal infection following caesarean section in low-resource settings, and subsequent maternal morbidity and mortality.

Keywords: Global Health; Infections; Obstetrics and gynaecology; Pregnancy; Uterus.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents* / therapeutic use
  • Cesarean Section* / adverse effects
  • Female
  • Humans
  • Peritonitis* / etiology
  • Peritonitis* / microbiology
  • Pregnancy

Substances

  • Anti-Bacterial Agents