O&G Cases · Postpartum care — recovery and perioperative care
Post-caesarean sepsis on day 2 — emergency management station
Team-based emergency station: postoperative puerperal sepsis after caesarean. Tests the sepsis six bundle in the first hour, empirical antibiotic choices with doses, source control, communication with the team and the woman, and the documentation and governance that follow. Includes assessor key and marking domains.
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Target exams
Station brief
Format. Emergency management station, approximately 12 minutes. You are the obstetric registrar on the postnatal ward. A midwife and a junior doctor are with you; the consultant is contactable in clinic. The assessor will run the clock and feed you new observations. [1]
Candidate instruction. Lead the first-hour management of suspected postoperative puerperal sepsis. Verbalise your actions, your drug orders with doses, your escalation triggers, and your communication with the team and the woman. [1]
You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Obstetrics & Gynaecology fellowship atlas.
References6Show ledgerHide ledger
- [1]Macones GA, Caughey AB, Wood SL, et al. Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society recommendations (Part 2) Am J Obstet Gynecol, 2019.PMID 30995461
- [2]Committee on Practice Bulletins-Obstetrics Practice Bulletin No. 183: Postpartum Hemorrhage Obstet Gynecol, 2017.PMID 28937571
- [3]Bauchat JR, Habib AS, Carvalho B, et al. Society for Obstetric Anesthesia and Perinatology Consensus Statement: Monitoring Recommendations for Prevention and Detection of Respiratory Depression Associated With Administration of Neuraxial Morphine for Cesarean Delivery Analgesia Anesth Analg, 2019.PMID 31082964
- [4]Sullivan SA, Smith T, Chang E, Hulsey T, Vandorsten JP, Soper D Administration of cefazolin prior to skin incision is superior to cefazolin at cord clamping in preventing postcesarean infectious morbidity Am J Obstet Gynecol, 2007.PMID 17466699
- [5]Sentilhes L, Sénat MV, Le Lous M, et al. Tranexamic Acid for the Prevention of Blood Loss after Cesarean Delivery N Engl J Med, 2021.PMID 33913639
- [6]Mackeen AD, Packard RE, Ota E, Berghella V, Baxter JK Timing of intravenous prophylactic antibiotics for preventing postpartum infectious morbidity in women undergoing cesarean delivery Cochrane Database Syst Rev, 2014.PMID 25479008