Sepsis in Pregnancy

Sepsis in Pregnancy

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Recorded On: 06/24/2021

Description: 

Pregnancy-related sepsis is a life-threatening medical emergency defined as organ dysfunction resulting from infection during pregnancy, childbirth, post-abortion, miscarriage, or the postpartum period. In the United States, sepsis or infection is the second leading cause of pregnancy-related deaths. Healthcare providers need to know the signs and symptoms of sepsis in pregnancy, as well as how to screen for sepsis early and initiate treatment, in order to combat this epidemic. Fast recognition and treatment of sepsis is key to increasing pregnant people’s chances of survival.

This new training module, jointly developed by Sepsis Alliance and American College of Obstetricians and Gynecologists (ACOG) District II, describes the unique physiology during and following pregnancy and the challenges healthcare providers face when identifying and managing pregnancy-related sepsis. Presenters share strategies for recognizing and treating pregnancy-related sepsis in the emergency department, critical care and obstetrical units, as well as on the floor. Learners will also hear the personal experience of a survivor.  

Learning Objectives: 

At the end of the activity, the learner should be able to:

  • Discuss the national and global issue of mortality and morbidity surrounding sepsis in pregnancy;
  • Define pregnancy-related sepsis;
  • Describe physiologic changes during pregnancy as it relates to sepsis;
  • Explain key challenges related to identification and treatment of sepsis in pregnancy;
  • Identify the risk factors for sepsis in pregnancy;
  • Restate treatment recommendations for sepsis in pregnancy;
  • List screening and protocols specific to sepsis in pregnancy;
  • Describe the algorithm for a perinatal screening program. 

Target Audience: 

Nurses, advanced practice providers, physicians, emergency responders, pharmacists, medical technologists, respiratory therapists, physical/occupational therapists, infection prevention specialists, data/quality specialists, and more.

Educational Partner:

Sepsis Alliance gratefully acknowledges the support and subject matter expertise provided for this training module by ACOG District II.

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Megan Snair

Maternal Sepsis Survivor

Sepsis Alliance Connect

Megan Snair, MPH, has more than ten years of experience working as a science writer, program director, and public health subject matter expert. She led multiple landmark activities and scientific publications as a senior program officer and study director at the National Academies of Sciences, Engineering, and Medicine covering topics of health policy, infectious disease outbreaks, health system resilience, and social determinants of health. However, despite this experience, Megan was blindsided in 2019 when she contracted a Group A strep infection and became septic after the delivery of her son. She spent a week in the hospital, including time in the ICU, while doctors worked to figure out what was causing her condition and then spent many weeks recovering at home. Because she was so unaware of the signs and symptoms of sepsis, she is committed to helping educate others - especially on the dangers of maternal sepsis - so that both patients and healthcare providers understand sepsis can happen to anyone, and are empowered to make a fast and accurate diagnosis.

Ashlesha Dayal, MD

Vice Chair Obstetrics

New York-Presbyterian/Queens

Dr. Ashlesha K. Dayal is a Maternal Fetal Medicine specialist, Vice Chair of Obstetrics at NewYork-Presbyterian/Queens, in Flushing NY, and an Associate Professor of Clinical Obstetrics and Gynecology at Weill Cornell Medical College. She focuses her clinical efforts on maternal safety, patient safety, and decreasing perinatal morbidity, particularly in the labor and delivery setting. Dr. Dayal has been on the Preterm Birth Task Force, the 17P Committee and serves as the Chair of Section 3 of District II of ACOG. She is also the residency site director for the Weill Cornell ObGyn Residency Training Program for New York-Presbyterian/Queens Hospital. Dr. Dayal serves on the Sepsis Taskforce for District 2 and the Postpartum Task Force for the District. Dr. Dayal received her medical degree from Boston University School of Medicine from the Six Year BA/MD Program and completed her residency at Long Island Jewish Medical Center, New Hyde Park NY. She completed her fellowship in Maternal Fetal Medicine at Albert Einstein College of Medicine, Bronx, NY.

Loralei L. Thornburg, MD

Professor, Department of Obstetrics and Gynecology

University of Rochester Medical Center

Loralei Thornburg is a professor of Obstetrics and Gynecology at the University of Rochester, where she did both Obstetrics and Gynecology residency and Maternal-Fetal Medicine fellowship. She now serves as both the division and fellowship director. A native of western Michigan, she went to medical school at Wayne State in Detroit. She teaches annually at the SMFM/Banner Obstetrical Critical Care course, including both lecture and simulation- which focus on optimizing care for pregnant patient with critical illness and events. She has the only neurology in pregnancy book that includes a multidisciplinary authorship across the broad range of specialists needed to care for neurologic disease in pregnancy. She lives with her husband, an internist, as well as 2 children, a leopard gecko, and a rabbit.

Sandra Asanjarani, RNC-OB, MS, NPWH, C-EFM

Perinatal Safety Officer

New York-Presbyterian/Queens

Sandra Asanjarani is the perinatal safety nurse and the team leader for the Baby-Friendly Journey at NewYork-Presbyterian/Queens. She obtained her RN degree from Queensborough Community College and her Bachelor in Science degree from Adelphi University. Sandra continued her studies and obtained her Nurse Practitioner credential  in Women’s Health and Obstetrics and Gynecology as well as her Perinatal Clinical Specialty Degree at Stony Brook University. Sandra holds multiple certifications in her field of expertise. Prior to working at NewYork-Presbyterian/Queens, she worked as an Associate Director for Quality/Safety and Risk Management at Jacobi Medical Center. She has worked in the field of maternal child as an administrator, labor and delivery nurse manager, perinatal informatics specialist, and a labor and delivery nurse for over 25 years in both the private sector and public sector. Sandra is a member of the executive board of directors at the New York State Nurses Association and is on the March of Dimes board of directors for Queens. She recently published a chapter in a medical textbook with Dr. Daniel Skupski about Hypertensive Crisis in Pregnancy. She has received many awards for her expertise and knowledge. Her most recent award was in 2019 for Advance Practice Nurse at NewYork-Presbyterian/Queens Hospital.

Provider approved by the California Board of Registered Nursing, Provider Number CEP17068 for 2.5 contact hours.

Other healthcare professionals will receive a certificate of attendance for 2.0 contact hours.

Medical Disclaimer

The information on or available through this site is intended for educational purposes only. Sepsis Alliance does not represent or guarantee that information on or available through this site is applicable to any specific patient’s care or treatment. The educational content on or available through this site does not constitute medical advice from a physician and is not to be used as a substitute for treatment or advice from a practicing physician or other healthcare professional. Sepsis Alliance recommends users consult their physician or healthcare professional regarding any questions about whether the information on or available through this site might apply to their individual treatment or care.

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