الفهرس 
Physiological Changes in PregnancyOnly 14 pages are availabe for public view
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Abstract
Introduction :-
Sepsis is a leading cause of preventable maternal mortality in developing countries (Hashim and Khan, 2014).
Most infections are the result of tissue damage during labour and delivery and physiologic changes normally occurring during pregnancy, these infections whether directly pregnancy related or simply aggravated by normal pregnancy physiology ultimately have the potential to progress to severe sepsis and septic shock (Barton and Sibai, 2012).
Pregnancies complicated by severe sepsis and septic shock are associated with increased rates of preterm labor, fetal infection and preterm labor. Sepsis onset in pregnancy can be insidious and patients may appear deceptively well before rapid deteriorating with the development of septic shock, multiple organ failure syndrome, or death (Derek et al, 2012).
Objectives :-
This review aims to highlighted that the expeditious recognitions of common maternl sepsis and paying attention to appropriate management to prevent the progression to sever sepsis & septic shock.
Data sources :-
Medline database (pubmed , medscape , science direct EMF – portal ) and allmaterials available in internet till 2017
Study selection:-
This search presented 104 article, the articles studied the early recognition for management for maternal sepsis to prevent the progression to sever sepsis &septic shock.
Data extraction :-
If the studies did not fulfill the inclusion criteria they were excluded – study quality assessment included whether ethical approval was gained , eligibility criteria specified appropriate controles and adequate information and defined assessment measures.
Data synthesis :- Comparisons were made by structured review with the result tabulated
Conclusion :-
The outcome The outcome and survivability in severe sepsis and septic shock in pregnancy are improved with early detection, prompt recognition of the source of infection, and targeted therapy. This improvement can be achieved by formulating a stepwise approach that consists of early provision of time sensitive interventions as aggressive hydration of 1st hour, initiation of appropriate empiric intravenous antibiotic within 1st hour of diagnosis, hemodynamic monitoring & thorough physical examination and imaging techniques or empiric exploratory laparotomy are suggested to identify the septic source