Heeding early warnings: improving care for puerperal sepsis in Malawi.

Heeding early warnings: improving care for puerperal sepsis in Malawi. BJOG. 2021 Feb 02;: Authors: Wylie BJ, Zera CA Abstract In this issue, Cheshire et al. (BJOG 2020 xxxx) report feasibility of an implementation programme to improve prompt recognition and treatment of puerperal sepsis, the third leading cause of maternal mortality worldwide (Say et al, Lancet Glob Health, 2014, volume 2(6):e323-33), at 15 government health facilities in Malawi. Sepsis bundles have become a lifesaving cornerstone of care but were neither designed for obstetric populations nor with low-resource settings in mind. In particular, the ability to translate specific components of these bundles, such as monitoring of lactate, blood cultures, or safe administration of vasopressors, is not routinely available in many low- or middle-income country (LMIC) birthing facilities. PMID: 33529480 [PubMed - as supplied by publisher]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Tags: BJOG Source Type: research