Puerperal sepsis and maternal mortality: what role can new technologies play?
Objective: To identify new and underutilized technologies to reduce maternal mortality related to puerperal sepsis in developing countries. Method: Review of current medical literature. Result: The 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. Conclusion: Sepsis management continues to depend on good implementation of established technologies. Programme-based approaches are required to improve uptake.
International Journal of Gynaecology and Obstetrics, 85 (Suppl 1), S52-S61