Doppler Echocardiography Versus Clinical Targets Guided Therapy on the Outcome of Postpartum Septic Shock.

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-45
SponsorAssiut University

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

Treatment groups

60 Participants
are divided into 2 treatment groups

Sponsors and collaborators