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7.7 Summary

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 Physiological and immune changes in pregnancy can increase the severity of some infections

 Awareness is need to recognise sepsis which can present with non‐specific symptoms and signs

 Do not rely on temperature (either high or low)

 Altered mental state is a medical emergency

 Antibiotics, fluid resuscitation and senior review must all happen within 1 hour

 Puerperal sepsis can be insidious in onset and can progress rapidly to fulminating sepsis and death

 Think sepsis; act quickly; assess and reassess; senior review; expert advice

Managing Medical and Obstetric Emergencies and Trauma

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