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Sepsis in Obstetrics: Treatment, Prognosis, and Prevention
Sheryl E Parfitt1, Mary L Bogat, Cheryl Roth
1Sheryl E. Parfitt is a Clinical Educator, HonorHealth Scottsdale Shea Medical Center, Scottsdale, AZ. The author can be reached via e-mail at sheryl.parfitt@honorhealth.com Mary L. Bogat is a Staff Nurse, HonorHealth Scottsdale Shea Medical Center, Scottsdale; Clinical Instructor, Scottsdale Community College, Scottsdale and Arizona State University, Tempe, AZ. Cheryl Roth is a Nurse Practitioner, HonorHealth Scottsdale Shea Medical Center, Scottsdale, AZ.
Maternal sepsis is a leading cause of death globally. Educating patients and nurses on early detection and prevention strategies, alongside applying adapted treatment guidelines, is crucial for improving outcomes in pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Critical Care Medicine
Background:
- Sepsis in pregnancy is a critical global health issue and a leading cause of maternal mortality.
- Timely recognition and intervention are essential for improving patient outcomes.
- Existing sepsis diagnostic criteria for the general population are not directly applicable to obstetric patients.
Purpose of the Study:
- To highlight the importance of sepsis and septic shock in pregnancy.
- To provide guidance on the education, prevention, and treatment of maternal sepsis.
- To discuss the applicability of Surviving Sepsis Campaign (SSC) treatment bundles for obstetric patients.
Main Methods:
- Review of current literature and guidelines on maternal sepsis.
- Inclusion of case studies to illustrate clinical scenarios.
- Discussion of evidence-based practices for prevention and management.
Main Results:
- Patient and nurse education can decrease sepsis rates and improve early detection.
- Obstetric-specific tools aid in timely identification of sepsis.
- SSC treatment bundles, adapted for obstetric care, can guide effective management.
Conclusions:
- Maternal sepsis requires specialized approaches to diagnosis and management.
- Comprehensive education for both patients and healthcare providers is vital.
- Adapting general sepsis guidelines for obstetric use improves patient care and reduces mortality.