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Sepsis in obstetrics: cause, prevention, and treatment

Ford, Jonathan M.; Scholefield, Helen

Current Opinion in Anaesthesiology: June 2014 - Volume 27 - Issue 3 - p 253–258
doi: 10.1097/ACO.0000000000000082
OBSTETRIC AND GYNECOLOGICAL ANESTHESIA: Edited by Wiebke Gogarten and Dorothee Bremerich

Purpose of review: The aim of the study was to provide a summary of recent guidance on sepsis in obstetrics.

Recent findings: Morbidity and mortality from sepsis is increasing in the UK and other developed countries. In many cases, care has been found to be substandard. Common themes are a failure to recognize and respond to the sick woman and inadequate antibiotic and fluid management in the septic parturient.

Summary: Increased awareness of obstetric sepsis is required. Women and their families need to be informed about it and staff must have the skills and competencies to recognize this early. The management of severe sepsis in obstetrics is multidisciplinary. Implementation of the goals of the Surviving Sepsis Campaign into obstetric practice is important to improve outcomes. More research is needed to validate the parameters used in this and early warning scores for the obstetric population.

Department of Obstetrics, Liverpool Women's NHS Foundation Trust, Liverpool, UK

Correspondence to Dr Helen Scholefield, Consultant Obstetrician, Liverpool Women's NHS Foundation Trust, Crown Street, Liverpool L8 7SS, UK. E-mail: Helen.scholefield@lwh.nhs.uk

© 2014 Lippincott Williams & Wilkins, Inc.