8. Sepsis

Source: William Kwong (AS)

  • A life-threatening condition where the body’s response to infection during pregnancy, childbirth or post-partum period injures its own tissues and organs. 

  • Can develop rapidly and potentially fatally if not identified and treated promptly. 

  • Pregnancy women are at greater risk of sepsis due to naturally occurring immunological changes in the body. 

  • The common cause is severe bacterial infection of the uterus during pregnancy and/or immediately following birth. 

  • Early warning signs include: high/low temperature, shivering/chills, dizziness, fast heart rate, rapid breathing, chesty cough, pain when passing urine, feeling unwell, confusion, disorientation, feeling like something is seriously wrong.

Effects of sepsis:

  • Reduced blood flow to your placenta and baby. 

  • Possible reduced movements of and/or stress to baby. 

  • Possible infection to baby, hypoxia and acidosis. 

  • Possible death of baby whilst in the uterus if slow/no prompt action is taken. 

  • Possibility of requiring C-section to expedite the delivery. 

  • Possibility of Baby requiring admission to Neonatal Unit for a period. 

Management to improve outcomes: 

  • Urgently call your health professional if notice symptoms or go straight to TRIAGE (Maternity A&E) for immediate attention/treatment. 

  • Comply with the treatment regime commenced and complete all treatment recommended. 

  • Get plenty of rest. 

  • Stay well hydrated. 

  • Read and inform yourself about the condition and management and take ownership of it. 

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7. Obstetric Cholestasis (OC)

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