Obstetric infections
Abstract
Sepsis accounts for approximately 10% of all maternal deaths. Pregnant women are susceptible to certain infections because of alterations in their cell-mediated immunity. Obstetric sepsis requires early broad-spectrum antibiotic therapy and may necessitate surgical intervention. Group A streptococcal infection may produce necrotizing fasciitis and toxic shock. Pyelonephritis remains a common cause of sepsis during pregnancy, and associated acute respiratory distress syndrome occurs more commonly than in the nonpregnant population. Severe pneumonitis caused by influenza virus and varicella zoster infection may occur. Malaria may be more severe in the pregnant woman, and carries significant risk to both mother and fetus.
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The most common postpartum infections include endometritis (puerperal sepsis), urinary tract infections, bloodstream infections, and cesarean surgical site infections.
“The most common postpartum infections include endometritis (puerperal sepsis), urinary tract infections (UTIs), bloodstream infections, and cesarean surgical site infections.[3, 5, 7]”
From Antimicrobial-resistant infections among postpartum women at a Ugandan referral hospital (2017) · cites this paper as [7]
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References 53 · Cited by 88
- Authors
- Lapinsky, S. E.
- Affiliations
- Mount Sinai Hospital (CA)
- Corresponding author
- Lapinsky, Stephen E.
- ORCID
- Lapinsky, Stephen E.
- Venue
- Critical Care Clinics
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 29
- Issue
- 3
- Pages
- 509-520
- ISSN
- 0749-0704 (ISSN-L)
- OpenAlex
- W4254285903
- Cited by
- 88
- References
- 53
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 6 · 2020: 3 · 2019: 36 · 2018: 4 · 2017: 5 · 2016: 9 · 2015: 5 · 2014: 5
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Critical Care Clinics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Streptococcal Infections and Treatments
- Keywords
- obstetric infections, maternal sepsis, maternal mortality, pregnancy, cell-mediated immunity, broad-spectrum antibiotics, surgical treatment, group A streptococcal infection, necrotizing fasciitis, toxic shock syndrome, pyelonephritis, acute respiratory distress syndrome, varicella zoster, malaria in pregnancy, fetal risk
- MeSH terms
- Abortion, Septic, Anti-Infective Agents, Cesarean Section, Endometritis, Female, Fetus, Fever, Humans, Malaria, Opportunistic Infections, Pneumonia, Postoperative Complications, Pregnancy, Pregnancy Complications, Infectious, Pregnancy Outcome, Puerperal Infection, Pyelonephritis, Sepsis, Fasciitis, Necrotizing
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