{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:18:35Z","timestamp":1791919115810,"version":"4.3.4"},"reference-count":40,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medicine"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Existing evidence indicates an increasing burden of puerperal sepsis in sub-Saharan Africa. Across the world, due to a lack of self-care practice and less attention to puerperal sepsis, postpartum women are exposed to major disorders and life-threatening conditions, leading to a lower quality of life. Therefore, this study aimed to assess the knowledge of puerperal sepsis and self-care practices related to the prevention of puerperal sepsis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A facility-based cross-sectional study was conducted among 422 postpartum women in Gurage zone public hospitals from July to August 2024. A systematic sampling technique was employed to get the representative sample. Bivariate and multivariable logistic regression were done to identify factors associated with outcome variables; a\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value &lt;0.05 was considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>In this study, the response rate was 98.8%. The overall good knowledge and self-care practice were found to be 40.8% (95% confidence interval (CI): 36, 46) and 29.3% (95% CI: 25, 34), respectively. Educational status (Adjusted odds ratio (AOR)\u2009=\u20091.13; 95% CI: 1.10, 2.85 and AOR\u2009=\u20092.1; 95% CI: 1.64, 5.43), occupation (AOR\u2009=\u20092.01; 95% CI: 1.2, 3.4), and antenatal care (ANC) contact (AOR\u2009=\u20091.3; 95% CI: 1.23, 2.97) were associated with knowledge of puerperal sepsis. Multiparous (AOR\u2009=\u20091.2; 95% CI: 1.04, 3.14), ANC contact (AOR\u2009=\u20091.27; 95% CI: 1.15, 2.81), and knowledge (AOR\u2009=\u20094.3; 95% CI: 2.14, 9.31) were factors associated with the self-care practice of puerperal sepsis prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This finding showed that 70.7% of postpartum women lacked good self-care practices of puerperal sepsis prevention. Hence, counseling and enhancing their knowledge of self-care practices should be provided to women to increase their awareness regarding puerperal sepsis prevention and self-care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20503121251387974","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T11:07:55Z","timestamp":1761217675000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Knowledge of puerperal sepsis, self-care practices of puerperal sepsis prevention and associated factors among postpartum women in the Gurage zone, Central Ethiopia: Multicenter study"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1942-5162","authenticated-orcid":false,"given":"Mangistu","family":"Abera","sequence":"first","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Wolkite University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3793-2672","authenticated-orcid":false,"given":"Mesfin Difer","family":"Tetema","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Wolkite University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fentahun Tamene","family":"Zeleke","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Wolkite University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keyredin Nuriye","family":"Metebo","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Wolkite University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8706-4271","authenticated-orcid":false,"given":"Aberash Beyene","family":"Derribow","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Wolkite University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megertu Obsa","family":"Gelmesa","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Wolkite University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8794-4092","authenticated-orcid":false,"given":"Ayana","family":"Benti Terefe","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medicine and Health Science, Wolkite University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolesa Gemeda","family":"Gudeta","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medicine and Health Science, Wolkite University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Obsa","family":"Dabala","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Seka Hospital, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meskerem Alemayehu","family":"Weldeyohans","sequence":"additional","affiliation":[{"name":"Department of Educational Planning and Management, College of Educational and Behavioral Science, Wolkite University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melese","family":"Gabure Shukulo","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Dr. Bogalech Gebre Memorial General Hospital, Durame, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7566-4942","authenticated-orcid":false,"given":"Mebratu Demissie","family":"Senbeta","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Science, Wolkite University, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization. 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