ABSTRACT
Signs requiring urgent referral by ambulance • Pyrexia >38°C – however, hypothermia may also be a sign • Continued tachycardia >100 bpm • Increased respiration rate/breathlessness • Abdominal or chest pain • Diarrhoea and vomiting – can be misdiagnosed as other
conditions, e.g. gastroenteritis • Uterine pain/tenderness • The woman is feeling unwell, over anxious
• Leucopenia <4 × 109 white blood cells is significant • Persistent bleeding and offensive lochia
N.B. Anti-pyrexial medication can mask a high temperature therefore doesn’t exclude sepsis.
