TITLE:
Maternal Sepsis in Intensive Care Unit at Omdurman New Hospital-Tertiary Obstetric Facility, Khartoum-Sudan
AUTHORS:
A. Bashir Fazari, E. Gailii, W. Mohammed, M. Abdallha, M. Ali, S. A. Rahman, K. El Musharaf
KEYWORDS:
Sever Sepsis, Septic Shock, Maternal Morbidity and Maternal Mortality
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.6 No.11,
September
28,
2016
ABSTRACT: Introduction:
Sever sepsis and septic shock contributes to maternal morbidity and mortality.
The etiology of sever sepsis and septic shock during pregnancy and postpartum
result from obstetric related or non-obstetric related conditions. Objectives:
It aimed to determine rate, characters, morbidity and mortality of septic
obstetric cases at Omdurman New Hospital. Methods: It was a descriptive,
prospective, analytic, cross-sectional hospital based total coverage study;
conducted at Omdurman New Hospital (ONH), Khartoum-Sudan. Results: Sever sepsis
and septic shock rate 1.16 (13/1124 =
1.16%) of hospital pregnancy complication admission. Hyperthermia, Tachycardia
and hypotension are the main presenting clinical findings and uterine infection
is the main focus of sepsis. The mean average Intensive Care Unit (ICU) stay is
6.3-day.
Organs dysfunctions are the main morbidity and mortality is reported in five cases. Conclusion: Sever sepsis
and septic shock contributes in maternal morbidity and mortality. Safe
obstetric care prevents maternal sepsis and improves the outcome. Management of
sever sepsis and septic shock remains a challenge in obstetric medicine.