87 Sepsis in Pregnancy

Anita Makins 12/11/18

How big a deal is sepsis in pregnancy? : Responsible for 1/10 of global maternal deaths!

What’s the importance of treating asymptomatic bacteriruria in pregnancy? : Yes you should treat! Risk of ascending infections making you v. sick!

What’s the most common cause of post partum fever? : Group A Strep causing endometritis

Causes of sepsis post partum: Spontaneous: Incomplete Misscarriage / Rupture of membraines before labour / Prolonged Labour / Retained placental fragments : Iatrogenic: Induced Abortion / Cervical Cerclage / Vaginal Examinations / Caesarean / Manual Removal

Why not co-amoxiclav in pregnancy? : Risk of necrotizing enterocolitis in neonates

Can you use gentamicin in pregnancy? : Yes! it’s a balance of risk

WHO guidelines for treating Chorioaminitis in LMIC: Amipicillin + Gentamicin

WHO guidelines for treating Post Partum Endometritis: Clindamycin + Gentamicin