About this trial
Postpartum sepsis is widely known as a preventable main cause of maternal morbidity and mortality. According to the World Health Organization, approximately 11% of the estimated maternal deaths worldwide were attributed to sepsis. Recent global assessments indicate that obstetric infections rank as the third most prevalent cause of maternal death, with a prevalence mainly observed in low- and middle-income nations.
Eligibility criteria
Qualifiers
postpartum women, within 6 weeks following delivery
meeting the third international consensus definitions for septic Shock (2016) (Sepsis-3): acute persisting hypotension requiring vasopressors to maintain mean arterial pressure (MAP) ≥ 65 mm Hg and having a serum lactate > 2 mmol/L (18 mg/dL) despite adequate volume resuscitation
Disqualifiers
Patient refusal
History of any chronic cardiac disease
Requirement for immediate surgery
Hypotension attributable to another cause
Trial design
Treatments tested in this trial
- a clinically guided resuscitation protocol,
- a transthoracic bedside focused echocardiographic assessment