![](https://oakbendmedcenter.org/wp-content/uploads/2024/05/Maternal-Sepsis.png)
By Margaret Garcia, Director of Perinatal Services
Maternal Sepsis Week is observed at our Fort Bend medical center, and nationwide from May 12-18th. It serves as a crucial opportunity to raise awareness about this pressing issue and mobilize efforts to prevent and manage maternal sepsis effectively. By shining a spotlight on maternal sepsis, we can amplify advocacy efforts, promote education, and drive policy changes aimed at improving maternal healthcare outcomes globally.
During Maternal Sepsis Week, our Fort Bend team of healthcare professionals, policymakers, advocacy groups, and individuals affected by maternal sepsis come together to:
- Raise Awareness: Maternal Sepsis Week provides a platform to educate the public about the risk factors, signs, and symptoms of maternal sepsis. By increasing awareness, we can empower individuals to recognize the warning signs and seek timely medical attention.
- Advocate for Policy Changes: Maternal Sepsis Week advocates for policies and practices that prioritize maternal health and ensure access to quality healthcare services for pregnant individuals. This includes advocating for improved infection prevention measures, timely detection of sepsis, and appropriate management strategies.
- Support Affected Individuals: Maternal Sepsis Week offers support and solidarity to individuals who have experienced maternal sepsis, as well as their families and caregivers. It provides a platform for sharing stories, seeking resources, and fostering a sense of community among those impacted by this condition.
By coming together during Maternal Sepsis Week, our Fort Bend healthcare professionals can help to make significant strides towards reducing maternal mortality rates and ensuring safer pregnancies and childbirth experiences for all.
What is Maternal Sepsis?
Sepsis is the bodyās overwhelming and life-threatening response to infection, which can lead to tissue damage, organ failure, and death. According to the World Health Organization maternal sepsis refers to sepsis that results from infection during pregnancy, childbirth, post-abortion, or postpartum period.Ā The most common cause of maternal sepsis is a severe bacterial infection of the uterus during pregnancy or immediately after childbirth. Maternal sepsis could also be caused by a urinary infection, or pneumonia. Pregnant women who have a chronic condition impacting one of their organs are the most at risk for maternal sepsis. A recent analysis found that 23% of all maternal deaths in the U.S. are related to sepsis.Ā The U.S. has the third highest rate of maternal mortality of all high-income countries.
Sepsis in pregnancy is associated with an increased risk of preterm birth, prolonged recovery, stillbirth, and maternal death.Ā Risk factors associated with developing maternal sepsis include not having given birth before (nulliparity), black race, and public or no health insurance. Other childbirth-related (obstetric) risk factors include cesarean delivery, use of assisted reproductive technologies, and multiple births (e.g. twins or triplets). The Society for Maternal Fetal Medicine recently released new recommendations for the diagnosis and treatment of sepsis, including that sepsis and septic shock be considered medical emergencies. Treatment of sepsis in pregnancy should follow the same basic principles as treatment of patients who are not pregnant.Ā Our Medical center in Fort Bend follows the recommendations of the Maternal Mortality Review Committee of the CDC which states that health facilities have sepsisĀ protocols in place and used by staff members as one strategy to prevent future pregnancy-related deaths.
Maternal sepsis is a complex condition that requires prompt recognition and treatment to improve outcomes for pregnant individuals and their newborns.
Signs and Symptoms of Maternal Sepsis
Early recognition in a pregnant or postpartum patient can be a challenge as the normal physiologic changes of pregnancy may mask the signs and symptoms of sepsis. Bedside assessment tools may aid in the detection of maternal sepsis. Although there are no standardized criteria to diagnose maternal sepsis, vital signs changes are an early indicator of infection. However, these early vital sign changes may be dismissed as normal physiologic changes of pregnancy such as an increase in heart rate, and decrease in blood pressure.Ā Ā Additionally, external influences (e.g., blood loss during delivery, common infections, fluid administration, medications, and effects of anesthesia) may further confuse the clinical picture. Often there is no obvious source of infection in maternal sepsis, which makes recognition more challenging and may result in delays in treatment and source control.
Because the symptoms of maternal sepsis are often nonspecific, health care professionals need to maintain a high index of suspicion.Ā The Society for Maternal-Fetal Medicine recommends that health care professionals consider the diagnosis of sepsis in pregnant patients with otherwise unexplained end-organ damage in the presence of an infectious process, regardless of the presence of a fever.Ā Ā The maternal immune response in pregnancy is decreased to protect the immunologically distinct fetus.Ā As a result, a pregnant woman has a predisposition for developing severe bacterial, fungal, or viral infections.Ā Primary sites of infection in pregnancy are the urinary tract (pyelonephritis), pelvic structures (chorioamnionitis and endometritis), surgical wounds (cesarean birth), and breast (mastitis). Maternal sepsis can present with multiple and varied symptoms such as lethargy, chills and rigors, generalized malaise, rashes, lower abdominal or pelvic pain, foul lochia, contractions, malodorous or discolored leaking of fluid from the vagina, and breast engorgement. Signs of maternal sepsis include fever or hypothermia, tachycardia, hypotension, uterine tenderness, preterm labor or preterm rupture of membranes, altered mental status, and end-organ dysfunction.
Identifying infection or predicting mortality in pregnant or postpartum patients remains unknown, it is recommend a step-wise approach, using a simple bedside screening tool such as MEOWS, followed by further evaluation for evidence of end-organ damage. Vital signs (eg, temperature, heart rate and respiratory rate) should be screened along with most recent white blood cell count within 24 hours. If any two of these four parameters are positive, source-directed antibiotics and intravenous fluids are administered, and further evaluation is recommended.
The second diagnostic step involves an evaluation for end-organ injury screening for sepsis, using the Centers for Medicare & Medicaid Services criteria for end-organ injury modified to account for normal maternal physiologic changes.Ā Implementing sepsis bundles to facilitate rapid escalation of care is vital. Timely and targeted antibiotic therapy and fluid resuscitation are critical for survival in patients with suspected sepsis. Once diagnosed, a search for etiologies and early application of source control measures will further reduce harms. If the patient is in septic shock or not responding to initial treatment, multidisciplinary consultation and escalation of care is necessary. Health care professionals should be aware of the unique complications of sepsis in critically ill pregnant and recently delivered patients.
Conclusion
Maternal Sepsis Week is observed at our Fort Bend healthcare facility to bring awareness to a leading cause of maternal morbidity and mortality. Recognition of maternal sepsis remains a challenge for health care workers as the signs and symptoms of maternal sepsis often overlap with the normal physiologic changes of pregnancy. Implementation of a simple bedside screen with immediate evaluation if the screen is positive may aid in the early diagnosis of maternal sepsis and timely treatment. All obstetric health care professionals should have regular training and education on early recognition of sepsis, signs and symptoms, and the need for prompt assessment and treatment to prevent the rapid progression of sepsis to septic shock. Early recognition, focused evaluation, and expedient treatment tailored to the most likely etiology of maternal sepsis are the necessary steps to reduce maternal morbidity and mortality from sepsis.
For more information about maternal sepsis and how you can get involved, please visit Maternal Sepsis Alliance and World Health Organization.
To schedule an appointment, call us at 281-341-3085. Our team of healthcare professionals are dedicated to providing you with the best care and guidance for all of your maternal and perinatal needs.
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FAST EFFECTIVE WAY TO GET CURED FROM HERPES VIRUS
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WhatsApp +2349074997110
Email:- dr.awaseherbalhome @ gmail .com
ReplyI was diagnosed of HSV (Herpes) few years ago and my doctor told me there was no permanent cure for the disease. I was given medication to slow down the progress of the virus. At the initial stage it was not so bad till it progressed to a stage were i had difficulties going about my daily activities because i constantly felt pains in my penis, and around my genital were i had these blisters. I was totally devastated and i was even ashamed to complain to anyone. I saw a publication about a doctor called Dr.Water, and from what i read, he was using herbal medicines to cure illnesses like HERPES, Human papillomavirus, ALS, Diabetes, HIV, and so on. I opted to contacted him via email, after a few dicussion, i ordered for his medicine. He prepared the medicine and shipped it to me. When i received the herbal medicine, I took it according to his instructions. After using it as instructed, few weeks later i went to the hospital to have a blood test and the test came out negetive. To my greatest surprise, i was cured of this stubborn virus just by using a simple herbal product.
ReplyThat is why i am here sharing my testimony as much as i can to create as much awareness as possible so that people can also benefit and be cured too. contact him for help, via his email: {DRWATERHIVCURECENTRE@GMAIL.COM} or WhatsApp (+2349050205019). this is my persona email: marianosuarezsm@gmail.com, you add me on hangout
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šæāļøI WAS CURED OF HERPES SIMPLEX VIRUS BY DR WATER, THE GREAT HERBALIST.
i am so happy to share this testimony with the world because generally there are so many doubts about the cure of HERPES simplex virus. This is real take it serious, my name is HENRIETTE AMUNAZO and i am so happy that today i can give this testimony to the world and also help people who has been condemned just as i was. Who will believe that a herb can cure HERPES completely from the body?, i never believed that this will work, i have spend a lot of money getting drugs from the hospital to supress outbreaks, it got to a time that all i was wanted was death to come because i was broke and i already have strong outbreaks from the herpes virus. One day i was going through the internet asking questions online just to know more about the latest development in the medical sector to see if there is still hope then i stumbled on a post about this great man called DR WATER through an online friend who publicly made a testimony on how she was also cured of herpes simplex virus 2 by this herbal doctor who is well known for his strong ancient herbal practice for HERPES, HIV, WARTS and CANCER cure. At first i doubted both the woman and the doctor just as so many that seeās this post would doubt because medically it has been proven impossible but later i decided to give him a try so i emailed him. I did not believe him that much, I just wanted to give him a try. He replied my mail and needed some Information about me, then I sent them to him, he prepared a herbal medicine (CURE) and sent it through Online Courier Service for delivery. He gave my details to the Courier Office. They told me that 3-5 days I will receive the package and after receiving it, i took the medicine as prescribed by him at the end of 13days that the medcine lasted, he told me to go to the hospital for a test, and i went, surprisingly after the test the doctor confirm me Herpes simplex virus free, i thought it was a joke, i went to other hospitals and was also confirmed herpes free, i will say it was like a miracle. I waited to see if i will get any outbreaks again and its been 2 months now, i have not experienced any outbreak. Thank you sir for saving my life even if you cannot see this post, i shall never stop testifying the impact you made in my life by restoring back my life when i was being stigmatized and even avoided by family and friends. I promise I will always testify of your good works. if you have herpes simplex virus, HIV patient, Diabetes, human papilloma virus or genital warts, contact him and I am sure you will get cured, contact him via:
email: Drwaterhivcurecentre@gmail.com
or Call/whatsapp: +2349050205019
THESE ARE THE THINGS DR WATER IS
SPECIALISED
. HERPES
. HIV/AIDS
. CANCER
. GENITAL WARTS
. KIDNEY STONES
. ULCER
. HEPATITIS B&C
. PORT-RATE DISORDER
. DIABETES
. PROSTRATE CANCER
. FIBRIOD, CYST
. INFERTILITY [HUSBAND OR WIFE ]
AN AMAZING REMEDY FOR HSV 1 & 2. It’s so unbelievable how wonderful herbs can be. when I first saw a post that said that a man have a perfect cure for .HSV 1&2, i was like could this be real or some kind of scam but due to my eagerness to be cured I took the risk of contacting him, he gave me reasons to believe he is a real herbalist so I followed all his instructions on how to take the drugs for 14 days and now all my test results shows HSV 1&2 (-) negative , Dr Aba have the most safe cure for herpes and other stubborn virus which are HSV 1&2,STI,STD just name it he has the cure for them all. Contact him via his personal email address which is dr.abaherbalhome@gmail.com . Trust me you will like this method, it’s safe, cheap and easy. Do well to let others know about this..
ReplyGot rid of HSV permanently,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
A happy client..
Good herbal med.
Email robinsonbuckler11@gmail.com
ReplyI can’t express my gratitude to Dr Aba for making me a living testimony. i have battled with HERPES SIMPLEX VIRUS 2 for about 7years now, and i have done all i can to make sure i am cured but nothing worked out, but miraculously my friend invited me to see a video on his Blog and as .i visited i decided to see few of the comment below, and i found some people talking about Dr Aba, and i decided to contact this great herbal healer to also help me,so i wrote to him, and he replied me back and assure me that i will get a cure for my HERPES SIMPLEX VIRUS 2. and after preparing my medicine he sent it to me and when i started using it for 2weeks i was completely cured, I am assuring you that you will be cured if you also contact this great man on his Email: dr.abaherbalhome@gmail.com or whatsapp is mobile number on +2348107155060
ReplyI tested positive for HSV-2 a few months ago, At first, I was devastated thinking I have an incurable STD for life, After doing hours of research I quickly realized genital herpes is a filthy parasite that just likes to hide in your body, thereās no āmedical cureā but that doesnāt mean your body canāt get rid of it, I literally got cured with the help of Dr. Riaria natural herbal medicine which I ordered after doing some research and now, Iām HSV-2 Negative, I never believed it until my doctor finally gave me the test results and behold I was HSV free. Iām so glad that I found you Dr. Riaria. Thanks so much for your goodness, Iām grateful. You can also get your help from him through his email: drriaria@gmail.com or WhatsApp him on +2347010627760.
You can visit his website for more info: https://drriaria.wixsite.com/website
ReplyHow can education about maternal sepsis empower mothers to recognize and respond to potential symptoms?
ReplyIām 40 years old I tested genital herpes (HSV1-2) positive in 2016. I was having bad outbreaks. EXTREMELY PAINFUL. I have try different kinds of drugs and treatment by the medical doctors all to know was avail. Six months ago I was desperately online searching for a helpful remedies for genital herpes (HSV1-2) cure, which I come across some helpful remedies on how Dr Moses Buba have help so many people in curing genital herpes (HSV1-2) with the help of herbal treatment because I too believe there is someone somewhere in the world who can cure herpes completely. At of the past 2 months, however, Iāve been following his herpes protocol and it stopped all outbreaks completely! To my greatest surprise I was cured completely by following the protocol of his herbal medicine . Donāt be discouraged by the medical doctors. There is a cure for HSV with the help of herbs and roots by a herbalist Dr call Dr Moses Buba he is so kind and truthful with his herbal treatment, kindly contact him for more information Via buba.herbalmiraclemedicine@gmail.com or WhatsApp DR on +2349060529305 you will be lucky as I am today
ReplyI have been suffering from Herpes for the past 1 years and 8 months, and ever since then i have been taking series of treatment but there was no improvement until i came across testimonies of Dr. UMA on how he has been curing different people from different diseases all over the world, then i contacted him as well. After our conversation he sent me the medicine which iĀ tookĀ according .to his instructions. When i was done taking the herbal medicine i went for a medical checkup and to my greatest surprise i was cured from Herpes. My heart is so filled with joy. If you are suffering from Herpes or any other disease you can contact Dr. UMA today on this Email address: dr.umaherbalcenter@gmail.com or whatsapp +2347035619585.
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