ArticleEuropean journal of obstetrics, gynecology, and reproductive biology2024
Near-miss and maternal sepsis mortality: A qualitative study of survivors and support persons.
Article in European journal of obstetrics, gynecology, and reproductive biology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- A case study of patient and public involvement in sepsis genomics research.Research involvement and engagement · 2026Article
- CMQCC obstetric sepsis toolkit update: A patient-centered approach to quality improvement.Seminars in perinatology · 2024Review
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Authors and funding
10 authors.
Funding
Abstract
backgroundPrior studies have shown that maternal deaths due to sepsis occur due to delays in recognition, treatment, and escalation of care through medical chart reviews. This study was conducted to obtain the patient perspective for near-miss and maternal mortality cases due to sepsis.
objectiveTo identify quality improvement opportunities for improving maternal sepsis through patient and support person experiences. STUDY
designTwenty semi-structured interviews and three follow-up focus groups with patients who experienced critical illness from maternal sepsis in the United States and their support persons (when available) were conducted from May 23, 2022, through October 14, 2022. In this qualitative study, data were analyzed using inductive thematic analysis.
resultsIn this qualitative study of patients with maternal sepsis and their support persons, four main quality improvement themes were identified. The themes were the following: (1) participants reported a lack of awareness of pregnancy-related warning signs and symptoms of when to seek care, (2) many of the presenting symptoms participants experienced were not typical of expected warning signs of maternal sepsis, such as severe pain, overwhelming tiredness, and lack of fever (3) participant concerns were met with dismissal leading to delays in diagnosis, (4) participants experienced long-term sequelae but had difficulty receiving screening and referrals for treatment.
conclusionsThe findings of this study suggest that standardized patient education about the warning signs of maternal sepsis and provider education about the presentation of maternal sepsis, improved listening to patients, and follow-up for sequalae of sepsis are needed.
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