• Int J Gynaecol Obstet · Jun 2004

    Review

    Puerperal sepsis and maternal mortality: what role can new technologies play?

    • J Hussein and J A Fortney.
    • Dugald Baird Centre for Research on Women's Health, Department of Obstetrics and Gynaecology, University of Aberdeen, Aberdeen Maternity Hospital, Scotland, UK. j.hussein@abdn.ac.uk
    • Int J Gynaecol Obstet. 2004 Jun 1;85 Suppl 1:S52-61.

    ObjectiveTo identify new and underutilized technologies to reduce maternal mortality related to puerperal sepsis in developing countries.MethodReview of current medical literature.ResultThe literature indicates that infection-control protocols and evidence-based procedures--including prophylactic antibiotics for cesarean section or preterm rupture of membranes, and updated antibiotic regimens--should be widely adopted. Devices such as hand rubs, needle-disposal systems, and rapid microbiological diagnostic tests can improve compliance and efficiency. Operational research on promising developments like vaginal cleansing with antiseptics, vitamin A supplementation, and prophylactic antibiotics in high-risk women is needed.ConclusionSepsis management continues to depend on good implementation of established technologies. Program-based approaches are required to improve uptake.

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