The golden hour of sepsis: An in-depth analysis of sepsis-related maternal mortality in middle-income country Suriname.

ABSTRACT:

Background

Sepsis was the main cause of maternal mortality in Suriname, a middle-income country. Objective of this study was to perform a qualitative analysis of the clinical and management aspects of sepsis-related maternal deaths with a focus on the 'golden hour' principle of antibiotic therapy.

Methods

A nationwide reproductive age mortality survey was performed from 2010 to 2014 to identify and audit all maternal deaths in Suriname. All sepsis-related deaths were reviewed by a local expert committee to assess socio-demographic characteristics, clinical aspects and substandard care.

Results

Of all 65 maternal deaths in Suriname 29 (45%) were sepsis-related. These women were mostly of low socio-economic class (n = 23, 82%), of Maroon ethnicity (n = 14, 48%) and most

SUBMITTER: Kodan LR 

PROVIDER: S-EPMC6039050 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature