Management of Sepsis and Septic Shock for the Obstetrician-Gynecologist

Obstet Gynecol Clin North Am. 2016 Dec;43(4):659-678. doi: 10.1016/j.ogc.2016.07.010.

Abstract

The incidence of sepsis is increasing in the United States, both in the general adult population and among pregnant and postpartum women. Neither infection nor bacteremia are synonymous with sepsis: it is a dysregulated host response to a pathogen in which organ dysfunction is key. New clinical criteria have been released. Cornerstones of management are early suspicion and recognition, effective fluid resuscitation, and appropriate antimicrobial therapy.

Keywords: Pregnancy; Puerperium; Sepsis; Septic shock.

Publication types

  • Review

MeSH terms

  • Adult
  • Disease Management
  • Early Diagnosis
  • Female
  • Humans
  • Pregnancy
  • Pregnancy Complications, Infectious* / diagnosis
  • Pregnancy Complications, Infectious* / immunology
  • Pregnancy Complications, Infectious* / physiopathology
  • Pregnancy Complications, Infectious* / therapy
  • Sepsis* / diagnosis
  • Sepsis* / immunology
  • Sepsis* / physiopathology
  • Sepsis* / therapy
  • Shock, Septic* / diagnosis
  • Shock, Septic* / immunology
  • Shock, Septic* / physiopathology
  • Shock, Septic* / therapy