Today, I had a lady who developed tachycardia of 142-160 beats per minute, immediately she started shwoing hypoxia of (pulse oximetry opf 92%), but temperature was normal 36.5. I suspected intrapartum sepsis and expedited delivery by ventouse and sent placental swab and gave Ceph + Met and follwing delivery her tachcyardia reduced to 102/min but her temperature rose to 38.6. This case highlights two things, one tachycardia may be the first sign of sepsis follwoed by hypoxia and hyperthermia may be the last to set in.
I think once sepsis is suspected expedition of delivery is the key, otherwise mum and baby are giong to get more and more infected and become septic.
Perform, ECG, CXR, ABG, U&Es and Ca and Mg levels
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