Too little, too late : the recurrent theme in maternal deaths due to sepsis

Show simple item record Cebekhulu, Sylvia Cornelissen, Laura Pattinson, Robert Clive 2019-01-18T10:01:30Z 2019-01-18T10:01:30Z 2018
dc.description.abstract BACKGROUND : Maternal sepsis accounts for 11% of direct obstetric deaths, making it the third commonest cause of death, after obstetric hemorrhage and hypertensive disorders. OBJECTIVE : To evaluate the risk factors and quality of care for maternal deaths due to sepsis. METHODS : Detailed secondary file review for all maternal deaths classified as pregnancy-related sepsis in South Africa between 2014-2016 and comparison of management with the Surviving Sepsis guidelines. RESULTS : There were 158 maternal deaths from sepsis. The postpartum period carried the greatest risk (94% of deaths), especially after caesarean delivery (50%). Adequate fluid resuscitation was done in only 25 cases (16%) and initiation of empiric antibiotics was often delayed (48% of those receiving antibiotics). Only 28% of women with possible source of infection in the uterus had a hysterectomy (39 cases). CONCLUSION : Healthcare professionals often underestimate the severity of maternal sepsis and poorly adhere to treatment guidelines. en_ZA
dc.description.department Obstetrics and Gynaecology en_ZA
dc.description.librarian am2019 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Cebekhulu, S., Cornelissen, L. & Pattinson, R.C. 2018, 'Too little, too late: The recurrent theme in maternal deaths due to sepsis', Obstetrics and Gynaecology Forum, vol. 28, no. 3, pp. 9-12. en_ZA
dc.identifier.issn 1027-9148
dc.language.iso en en_ZA
dc.publisher In House Publications en_ZA
dc.rights In House Publications en_ZA
dc.subject Risk factors en_ZA
dc.subject Care en_ZA
dc.subject Sepsis en_ZA
dc.subject Deaths en_ZA
dc.subject Maternal sepsis en_ZA
dc.subject Obstetric deaths en_ZA
dc.subject Quality of care en_ZA
dc.subject Maternal deaths en_ZA
dc.title Too little, too late : the recurrent theme in maternal deaths due to sepsis en_ZA
dc.type Article en_ZA

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