Author(s)

A. Bashir Fazari^1,2,3*, E. Gailii^1,2, W. Mohammed^1,2, M. Abdallha¹, M. Ali^1,4, S. A. Rahman^1,5, K. El Musharaf^1,6

¹University of Medical Sciences & Technology, Reproductive and Child Health Research Unit, Khartoum, Sudan.
²Omdurman Maternity Hospital, Ministry of Health, Khartoum, Sudan.
³Latifa Hospital, Dubai Health Authority, Dubai, UAE.
⁴Royal Preston Hospital, Preston, UK.
⁵Atlantis Clinic, Dubai, UAE.
⁶Graduate Entry Medical School, University of Limerick, Limerick, Ireland.

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.

Sever Sepsis, Septic Shock, Maternal Morbidity and Maternal Mortality

Fazari, A. , Gailii, E. , Mohammed, W. , Abdallha, M. , Ali, M. , Rahman, S. and El Musharaf, K. (2016) Maternal Sepsis in Intensive Care Unit at Omdurman New Hospital-Tertiary Obstetric Facility, Khartoum-Sudan. Open Journal of Obstetrics and Gynecology, 6, 637-645. doi: 10.4236/ojog.2016.611080.