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Sepsis in Pregnancy: Identification and Management.

Publication ,  Journal Article
Albright, CM; Mehta, ND; Rouse, DJ; Hughes, BL
Published in: J Perinat Neonatal Nurs
2016

Sepsis accounts for up to 28% of all maternal deaths. Prompt, appropriate treatment improves maternal and fetal morbidity and mortality. To date, there are no validated tools for identification of sepsis in pregnant women, and tools used in the general population tend to overestimate mortality. Once identified, management of pregnancy-associated sepsis is goal-directed, but because of the lack of studies of sepsis management in pregnancy, it must be assumed that modifications need to be made on the basis of the physiologic changes of pregnancy. Key to management is early fluid resuscitation and early initiation of appropriate antimicrobial therapy directed toward the likely source of infection or, if the source is unknown, empiric broad-spectrum therapy. Efforts directed at identifying the source of infection and appropriate source control measures are critical. Development of an illness severity scoring system and treatment algorithms validated in pregnant women needs to be a research priority.

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Published In

J Perinat Neonatal Nurs

DOI

EISSN

1550-5073

Publication Date

2016

Volume

30

Issue

2

Start / End Page

95 / 105

Location

United States

Related Subject Headings

  • Sepsis
  • Pregnancy Complications, Infectious
  • Pregnancy
  • Nursing
  • Humans
  • Fluid Therapy
  • Female
  • Early Medical Intervention
  • Early Diagnosis
  • Disease Management
 

Citation

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Albright, C. M., Mehta, N. D., Rouse, D. J., & Hughes, B. L. (2016). Sepsis in Pregnancy: Identification and Management. J Perinat Neonatal Nurs, 30(2), 95–105. https://doi.org/10.1097/JPN.0000000000000159
Albright, Catherine M., Niharika D. Mehta, Dwight J. Rouse, and Brenna L. Hughes. “Sepsis in Pregnancy: Identification and Management.J Perinat Neonatal Nurs 30, no. 2 (2016): 95–105. https://doi.org/10.1097/JPN.0000000000000159.
Albright CM, Mehta ND, Rouse DJ, Hughes BL. Sepsis in Pregnancy: Identification and Management. J Perinat Neonatal Nurs. 2016;30(2):95–105.
Albright, Catherine M., et al. “Sepsis in Pregnancy: Identification and Management.J Perinat Neonatal Nurs, vol. 30, no. 2, 2016, pp. 95–105. Pubmed, doi:10.1097/JPN.0000000000000159.
Albright CM, Mehta ND, Rouse DJ, Hughes BL. Sepsis in Pregnancy: Identification and Management. J Perinat Neonatal Nurs. 2016;30(2):95–105.

Published In

J Perinat Neonatal Nurs

DOI

EISSN

1550-5073

Publication Date

2016

Volume

30

Issue

2

Start / End Page

95 / 105

Location

United States

Related Subject Headings

  • Sepsis
  • Pregnancy Complications, Infectious
  • Pregnancy
  • Nursing
  • Humans
  • Fluid Therapy
  • Female
  • Early Medical Intervention
  • Early Diagnosis
  • Disease Management