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Maternal pyrexia: challenges in optimal perinatal management 

Maternal pyrexia: challenges in optimal perinatal management
Maternal pyrexia: challenges in optimal perinatal management

Surabhi Nanda

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date: 20 June 2021

This case describes a case of prolonged rupture of fetal membranes at term, followed by induction of labour with prostaglandin and synthetic oxytocin (syntocinon), complicated by pyrexia in labour and postpartum genital tract sepsis. The accompanying text and figures allow readers to follow the progressive change in maternal observations, biochemical parameters, and fetal cardiotocograph which provide important clues as to the severity of the sepsis, which progresses rapidly after birth. Use of early warning systems, such as a MEOWS chart, to facilitate early detection of the deteriorating septic woman, together with early antibiotic therapy, microbiology liaison, and strong handover communication are emphasized.

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