ReviewThe western journal of emergency medicine2019
Sepsis in Pregnancy: Recognition and Resuscitation.
Review in The western journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Incidence of pregnancy-associated acute kidney injury in low- and middle-income countries: a meta-analysis.Bulletin of the World Health Organization · 2025Pooled it
- Prognostic value of the obstetric specific scoring systems and four years' experience of a tertiary center.BMC pregnancy and childbirth · 2025Article
- Management of meningitis in critical obstetric patients: a case report.Journal of medical case reports · 2025Article
- Evaluating a Sepsis Screening Tool in the Outpatient Setting.Clinical journal of oncology nursing · 2025Article
- A Multicenter Study in Northern Italy to Evaluate the Impact of a Sepsis Bundle in Obstetric Settings: The SOS Study.Open forum infectious diseases · 2025Article
- Shark Fin Sign in a Patient with Sepsis-induced Cardiomyopathy Associated with Retained Placenta: A Case Report and Review of the Literature.Internal medicine (Tokyo, Japan) · 2025Review
- Article
- Article
- Sepsis in the Parturient.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021Article
- COVID-19 medical management including World Health Organization (WHO) suggested management strategies.Disease-a-month : DM · 2020Review
- Male grey seal commits fatal sexual interaction with adult female harbour seals in the German Wadden Sea.Scientific reports · 2020Article
- Palestinian strategies, guidelines, and challenges in the treatment and management of coronavirus disease-2019 (COVID-19).Avicenna journal of medicineReview
- COVID-19 in third trimester of pregnancy.Journal of advanced pharmaceutical technology & researchReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The normal physiologic changes of pregnancy complicate evaluation for sepsis and subsequent management. Previous sepsis studies have specifically excluded pregnant patients. This narrative review evaluates the presentation, scoring systems for risk stratification, diagnosis, and management of sepsis in pregnancy. Sepsis is potentially fatal, but literature for the evaluation and treatment of this condition in pregnancy is scarce. While the definition and considerations of sepsis have changed with large, randomized controlled trials, pregnancy has consistently been among the exclusion criteria. The two pregnancy-specific sepsis scoring systems, the modified obstetric early warning scoring system (MOEWS) and Sepsis in Obstetrics Score (SOS), present a number of limitations for application in the emergency department (ED) setting. Methods of generation and subsequently limited validation leave significant gaps in identification of septic pregnant patients. Management requires consideration of a variety of sources in the septic pregnant patient. The underlying physiologic nature of pregnancy also highlights the need to individualize resuscitation and critical care efforts in this unique patient population. Pregnant septic patients require specific considerations and treatment goals to provide optimal care for this particular population. Guidelines and scoring systems currently exist, but further studies are required.
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