Abstract
Background: Caesarean section (CS) wound infections represent a substantial burdento the health system and the prevention of such infections should be a healthcare priority indeveloping countries [3]. The global estimates of surgicalsite infections (SSI) are from 0.5–15% [4]. SSI can beattributed to a perioperative bacterial load in the tissueat the site of surgery and the diminished  integrity ofthe host’s defenses [5]. Hence the present study was done at our tertiary care centre to assess wound infection
after caesarean delivery. Materials and methods: A hospital based case control study was conducted with 300 patients to assess the incidence of caesarean wound infections. The patients were prospectively randomized into following twogroups of 150 patients each. Results: 32 (21.3%) patients in Cases Group had hypertension / pre eclampsia while 29 (19.3%) and 23 (15.3%) patients had anemia and diabetes mellitus respectively. 10 (6.7%) patients in Cases Group had hypertension/pre eclampsia while 15 (10%) and 7 (4.7%) patients had anemia and diabetes mellitus respectively. The difference was statistically significant as per Chi-Square test (p<0.05). Conclusions: Obesity, diabetes, prolonged labour with PROM and wound haematoma are the main
contributory risk factors responsible for PCS wound infections. The need to reduce SSI is currently receiving considerable attention and requires more research.