Chapter 7: Genital tract sepsis

Genital tract sepsis: Specific recommendations

All health professionals must be aware of the symptoms and signs of maternal sepsis and critical illness and of the rapid, potentially lethal course of severe sepsis and septic shock:

Maternal tachycardia, constant severe abdominal pain and tenderness are important early features of genital tract sepsis that should prompt urgent medical review.

All maternity units should have guidelines for the investigation and management of genital tract sepsis.

If sepsis is suspected, regular frequent observations should be made and use of the Modified Early Obstetric Warning core (MEOWS) as recommended by this Report is crucial.

High dose broad-spectrum intravenous antibiotic treatment should be started immediately sepsis is suspected, without waiting for microbiology results.