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Sepsis in Pregnancy and Post Partum

, Prema D’Cunha

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Indian Journal of Obstetrics and Gynecology 5(3 (Supplement)):p 296-296, Jul-Sep 2017. | DOI:

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Abstract

Introduction: It is the 3rd most common cause of maternal death • Rising rapidly • Late diagnosis • Overuse of antibiotics • Sepsis- SIRS, severe sepsis, septic shock Scenario: Pregnant women 24 weeks with history of fever with burning micturation 6 days back taken some tablets and feeling lethargic On examination: BP: 90/60mm hg Pulse: 110 beats per min Spo2: >95% with room air Temperature: 99 degree Fahrenheit RR: 22 cycles per minute Equipments • Pulse oximeter • Sphygmomanometer • IV cannula • Blood culture broth • CTG • Doppler WHAT WILL YOU DO? A. SEPSIS PATHWAY: History Equipments: O2, IV fluids, Blood culture, S. Lactate, Antibiotics Fetal monitoring • Penicillin Allergy • RFT • Toxic Shock Syndrome

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