A review of critical care management of maternal sepsis

Madiha Hashmi, Fazal Hameed Khan

Research output: Contribution to journalReview articlepeer-review

3 Citations (Scopus)


Sepsis is a leading cause of preventable maternal mortality in developing countries due to poverty, home deliveries by untrained persons in unhygienic conditions, limited access to healthcare facilities and lack of availability of antibiotics. Recent confidential enquiries into maternal deaths from the developed nations have revealed an increase in maternal mortality secondary to genital tract sepsis and provision of suboptimal critical care. Early recognition of critical illness in obstetric patients, involvement of intensive care teams earlier and provision of same standard of critical care to pregnant women as non-pregnant patients while being mindful of the altered maternal physiology and fetal wellbeing is necessary to improve outcome of this vulnerable population. This article reviews the definitions and risk factors of maternal sepsis and describes the standards recommended for efficient delivery of maternal critical care and sepsis management.

Original languageEnglish
Pages (from-to)436-442
Number of pages7
JournalAnaesthesia, Pain and Intensive Care
Issue number4
Publication statusPublished - 1 Oct 2014


  • Critical care
  • Fetal monitoring
  • Maternal mortality
  • Maternal sepsis
  • Puerperal sepsis
  • Resuscitation


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