Abstract
Postpartum sepsis contributes to maternal mortality as a direct cause in significant proportion. Its incidence varies globally, being more in developing nations. The sepsis is more commonly related to childbirth process and early pregnancy miscarriages including illegally induced abortions. There is need to prevent sepsis primarily by adopting infection control measures at all levels. Sepsis should be recognized early and treated vigorously to prevent severe sepsis, septic shock and multiorgan failure. The clinical symptomatology and laboratory parameters need to be monitored intensively for instituting appropriate interventions. The antibiotics and fluid resuscitation besides infection source control are mainstay of therapy. There should be no delay in referring sepsis patients to appropriate higher centre where critical care is available. A prophylactic dose of antibiotic prior to surgical procedure is an evidence-based risk reduction strategy.
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References
Arulkumaran N, Singer M. Puerperal sepsis. Best Pract Res Clin Obstet Gynaecol. 2013;27:893–902.
Timezguid N, Das V, Hamdi A, et al. Maternal sepsis during pregnancy or the postpartum period requiring intensive care admission. Int J Obstet Anaesth. 2012;21(1):51–5.
Kaye DK, Kakaire O, Osinde MO. Systematic review of the magnitude and case fatality ratio for severe maternal morbidity in sub-Saharan Africa between 1995 and 2010. BMC Pregnancy Childbirth. 2011;11:65.
WHO Fact sheet: Countdown to 2015 decade report (2000–2010) WHO 2010. www.who.int/mediacentre/factssheets/fs348.
Final pilot report-ICMR—Estimates of maternal mortality ratios in India and its states—a pilot study. www.icmr.nic.in/finalpilotreport.pdf. July 2003.
Centre for Maternal and Child Enquiries (CMACE). Saving mother’s lives: reviewing maternal deaths to make motherhood safer: 2006–08. The eighth report on confidential enquiries into maternal deaths in United Kingdom. BJOG 2011;118 Suppl 1:1–203.
Singh S, McGlennan A, England A, Simons R. A validation study of the CEMACH recommended modified early obstetric warning system (MEOWS). Anaesthesia. 2012;67:12–8.
Centre for the Enquiry into Maternal and Child Health (CEMACH). Saving mothers’ lives: reviewing maternal deaths to make motherhood safer 2003–2005. In: Lewis G, editor. The seventh confidential enquiry into maternal deaths in the United Kingdom. London; 2007.
Dellinger RP, Levy MM, Rhodes A, et al. Surviving sepsis campaign: International guidelines for management of severe sepsis and septic shock. Intensive Care Med. 2013;39(2):165–228.
Royal College of Gynaecologists. Bacterial sepsis in pregnancy. Green-top guideline No. 64a. 2012.
Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345:1368–77.
Barton J, Sibai B. Severe sepsis and septic shock in pregnancy. Obstet Gynecol. 2012;120:689–706.
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Annexure 1: The MEOWS Chart
Annexure 1: The MEOWS Chart
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Nagpal, M. (2020). Postpartum Sepsis. In: Sharma, A. (eds) Labour Room Emergencies. Springer, Singapore. https://doi.org/10.1007/978-981-10-4953-8_44
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DOI: https://doi.org/10.1007/978-981-10-4953-8_44
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