Interventions for Maternal Sepsis

Download:

Filtering by:

Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community awareness and advice on avoidance of infection by identifying and correcting predisposing factors to infection	Advice on attending regular ANC Advice on health facility delivery	Recognition of signs and symptoms	Immediate transfer to a higher-level health care facility	Home based physical therapy and mobilization	Post sepsis psychosocial and emotional support
Primary Care
Health education on infection prevention	Standard infection prevention and control measures in maternity care Clinical monitoring for signs of infection throughout labour and the postpartum period Avoid routine vaginal cleansing Avoid frequent vaginal examination	History Physical examination Vital sign monitoring	Immediate transfer to a higher-level health care facility	Physical therapy and mobilization	Post sepsis psychosocial and emotional support
Referral Facility: General
	Standard infection prevention and control measures Clinical monitoring for signs of infection throughout labour and the postpartum period Avoid unnecessary interventions that interferes with the natural process of labour Prophylactic antibiotics for women undergoing elective or emergency caesarean section Prophylactic antibiotic in women presenting with a third-degree or fourth-degree perineal tear Routine antibiotic prophylaxis for manual removal of the placenta Limit the digital vaginal examination for routine assessment	History Physical examination Complete blood cell (CBC) count	IV antibiotics Crystalloid bolus Fluid and electrolytes Barrier nursing Glycaemic control Vasopressors Corticosteroids as indicated	Early mobilization in the hospital Physical therapy, Occupational therapy Speech therapy	Post sepsis psychosocial and emotional support
Referral Facility: Specialist
	Standard infection prevention and control measures in the provision of maternity care Clinical monitoring for signs of infection throughout labour and the postpartum period Avoid unnecessary interventions that interferes with the natural process of labour Prophylactic antibiotics for women undergoing elective or emergency caesarean section Prophylactic antibiotic in women presenting with a third-degree or fourth-degree perineal tear Routine antibiotic prophylaxis for manual removal of the placenta Limit the digital vaginal examination for routine assessment	History Physical examination Complete blood cell (CBC) count Blood culture LFT RFT	IV antibiotics Crystalloid bolus Fluid and electrolytes Barrier nursing Glycaemic control Vasopressors Corticosteroids if indicated	Early mobilization in the hospital Physical therapy, Occupational therapy Speech therapy	Post sepsis psychosocial and emotional support