Risk factors
Māori ethnicity
What is a maternal risk factors for sepsis.
Less than 36°C or greater than 39°C.
What maternal temperature is an Amber Flag?
Responding only to voice or pain
What is a red flag neurological sign of sepsis?
Evacuation of retained products
What is a priority in maternal sepsis management?
Recent third degree repair
What is a recent procedure that increases the risk of sepsis
Respiratory rate > 25 breaths per minute or more.
What is a Red Flag vital sign
Lactate measurement.
What is the blood test used to guide the escalation of care?
Give IV fluids
What is 'if hypotensive'
Prolonged rupture of membranes > 24 hours.
What is an Amber Flag for Sepsis
A fetal finding for maternal sepsis
What is Fetal tachycardia greater than 160 beats per minute.
Early-onset neonatal infection
What is 'maternal group B streptococcal infection in the current pregnancy'
Two sets of blood cultures before antibiotics.
What microbiological investigation should be performed before administering IV antibiotics when possible
Lupus during pregnancy
What is an immunosuppressed risk factor for sepsis
An abnormal postpartum finding that raises suspicion of maternal sepsis?
What is Malodorous vaginal discharge.
Send bloods including lactate & blood cultures
What is 2 or more amber flags ticked
Assess fetal wellbeing and consider delivery
What two priorities accompany maternal sepsis management
Close contact with someone with Group A Strep infection
What exposure history increases concern for maternal sepsis/ Amber flag
A person may still have sepsis despite having a normal temperature
What is "temperature should never be used to rule out sepsis"
Arrange immediate ambulance transfer after consulting obstetrics.
What is the management priority when Red Flag maternal sepsis is identified in the community?
Ceftriaxone 2 g IV or IM
What antibiotic does the Community Maternal Sepsis Pathway recommend for Red Flag sepsis