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what is puerperal?
the 6 weeks after child birth when the women's reproductive organs return to their non pregnant state
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what is antepartum?
occurring not long before childbirth
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what types of sepsis are one of the leading causes of maternal mortality in the uk?
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how can it be related?
- directly i.e. pregnancy or genital tract related
- indirectly e.g. influenza, pneumonia, E coli, group A&B strep
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who should be considered for sepsis?
- any women who:
- is pregnant
- given birth or had a termination of preg or miscarriage within the past 6 weeks.
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what are the high risk factors for sepsis?
- impaired immune system due to illness/ drugs
- gastational diabetes, diabetes or other comorbidities
- undergone invasive procedures e.g. C section, forceps delivery, removal of retained product of conception
- prolonged rupture of membranes
- been in close contact with people with group A strep
- have continued vaginal bleeding or offensive vaginal discharge
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what are the signs and symptoms of maternal sepsis?
- history of infection
- SBP <90mmHg
- Tachypneoa
- body temp <36 or >38
- cardiovascular compromise- tachycardia, prolonged cap refill
- altered mental state
- D and V
- mottled skin or rash -generalised/ purpuric (non-blanching)
- abdominal/pelvic pain
- offensive discharge or wound
- productive cough
- not passed urine in last 12-28 hours
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what position should this patient be placed in?
- if reduced LOC- full lateral (recovery)
- or supine with manual uterine displacement
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