Sepsis in gynecology and obstetrics

Abstract

Sepsis during pregnancy presents particular physiological features that require in-depth knowledge for the effective identification and management of patients. The presence of the fetus adds further complexity to the approach. Early identification and intervention are critical, according to the Latin America Institute of Sepsis guidelines. This study developed an automated tool to streamline the sepsis diagnosis process in obstetrics, aiming to ensure the survival of the pregnant or puerperal patient. The tool was implemented in January 2024 at the Vila Alpina State Hospital, promoting early opening of the obstetric sepsis protocol. From January to July 2024, the average time to open the protocol was 33 minutes, with a 100% success rate in managing infections, without deaths or progression to sepsis/septic shock. The use of the tool proved effective in reducing failures in protocol initiation and operational costs.