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Obstetric Sepsis: Focus on the 3-Hour Bundle

Brown, Kellie N. MSN, RNC-OB, CNS; Arafeh, Julie M. R. MSN, RN

The Journal of Perinatal & Neonatal Nursing: July/September 2015 - Volume 29 - Issue 3 - p 213–221
doi: 10.1097/JPN.0000000000000115
Feature Articles

Early recognition and treatment of sepsis are key to decreasing maternal and fetal morbidity and mortality. Timing is critical, and early intervention is associated with improved outcomes. The perinatal provider is in a unique position to identify risk factors, perform assessments, and implement the first 3 hours of the sepsis bundle. Early detection and management combined with careful assessment can assist in providing evidence-based care and moving the patient to a higher level of care when warranted.

California Pacific Medical Center, San Francisco (Ms Brown); and Center for Advanced Pediatric and Perinatal Education, Stanford Medicine, Palo Alto, California (Ms Arafeh).

Corresponding Author: Kellie N. Brown, MSN, RNC-OB, CNS, California Pacific Medical Center, 3700 California St, San Francisco, CA 94118 (

Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Submitted for publication: January 30, 2015; accepted for publication: May 1, 2015.

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.