Maternal sepsis: a new international definition - new opportunities to improve outcomes


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Abstract

Background. Maternal sepsis is an interdisciplinary problem that determines the perinatal and maternal mortality level worldwide. A unified terminology makes it possible to unify tactics in the diagnosis, therapy and management of pregnant women, women in childbirth and puerperas, contributing to improved outcomes. The review presents epidemiological data on the structure of obstetric sepsis in recent years in the world, which is one of the main causes of maternal mortality (11% - on average, 3.6% - in Russia), the newly emerging causes of its growth (an increase in the number of births in megacities, their concentration in large obstetric institutions and an increase in the caesarean section rate), social significance and unresolved problems for countries with any level of economy, such as the lack of a clear definition of maternal sepsis, its criteria, and therefore, inaccuracies in epidemiological estimates, delays in timely diagnosis and treatment. Conclusion. The development of standardized diagnostic criteria for maternal sepsis according to the changes commonly found in pregnancy will facilitate high effective strategies for reduction of the impact of these conditions on maternal health worldwide.

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About the authors

N. A Gabitova

Academy of Postgraduate Education, Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA

Email: gabitova_nataliya@mail.ru
Moscow, Russia

A. G Kedrova

Academy of Postgraduate Education, Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA

Moscow, Russia

M. A Zakharova

Academy of Postgraduate Education, Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA

Moscow, Russia

T. N Belousova

Academy of Postgraduate Education, Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA

Moscow region, Vidnoye, Russia

O. N Kucherova

Academy of Postgraduate Education, Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA

Moscow, Russia

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