{"id":"https://openalex.org/W7225829286","doi":"https://doi.org/10.52340/gs.2026.08.04(1).54","title":"OBSTETRIC SEPSIS AND SEPTIC SHOCK: CRITICAL CARE RESUSCITATION, HEMODYNAMIC STABILIZATION, AND MULTIDISCIPLINARY MANAGEMENT","display_name":"OBSTETRIC SEPSIS AND SEPTIC SHOCK: CRITICAL CARE RESUSCITATION, HEMODYNAMIC STABILIZATION, AND MULTIDISCIPLINARY MANAGEMENT","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225829286","doi":"https://doi.org/10.52340/gs.2026.08.04(1).54"},"language":"en","primary_location":{"id":"doi:10.52340/gs.2026.08.04(1).54","doi":"https://doi.org/10.52340/gs.2026.08.04(1).54","is_oa":true,"landing_page_url":"https://doi.org/10.52340/gs.2026.08.04(1).54","pdf_url":null,"source":{"id":"https://openalex.org/S4210238182","display_name":"GEORGIAN SCIENTISTS","issn_l":"2667-9760","issn":["2667-9760"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4387155489","host_organization_name":"Association for Science","host_organization_lineage":["https://openalex.org/I4387155489"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"GEORGIAN SCIENTISTS","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.52340/gs.2026.08.04(1).54","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5117074519","display_name":"George Gogitidze","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405263782","display_name":"BAU International University, Batumi","ror":"https://ror.org/001jhrf23","country_code":"GE","type":"education","lineage":["https://openalex.org/I4405263782"]}],"countries":["GE"],"is_corresponding":true,"raw_author_name":"George-Jemal Gogitidze","raw_affiliation_strings":["School of Medicine, BAU International University, Batumi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, BAU International University, Batumi","institution_ids":["https://openalex.org/I4405263782"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5117074519"],"corresponding_institution_ids":["https://openalex.org/I4405263782"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11961","display_name":"Neonatal and Maternal Infections","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12333","display_name":"Abdominal Surgery and Complications","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8744999766349792},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.7993000149726868},{"id":"https://openalex.org/C2777628635","wikidata":"https://www.wikidata.org/wiki/Q1765564","display_name":"Septic shock","level":3,"score":0.7246999740600586},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.5953999757766724},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.5667999982833862},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.4903999865055084},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.4575999975204468},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.45350000262260437},{"id":"https://openalex.org/C2776914243","wikidata":"https://www.wikidata.org/wiki/Q7647235","display_name":"Surviving Sepsis Campaign","level":5,"score":0.4424999952316284},{"id":"https://openalex.org/C2910678782","wikidata":"https://www.wikidata.org/wiki/Q2916482","display_name":"Postpartum haemorrhage","level":3,"score":0.37940001487731934},{"id":"https://openalex.org/C2778426790","wikidata":"https://www.wikidata.org/wiki/Q1649580","display_name":"Organ dysfunction","level":3,"score":0.3666999936103821},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.362199991941452},{"id":"https://openalex.org/C2777925291","wikidata":"https://www.wikidata.org/wiki/Q2581971","display_name":"Intensivist","level":3,"score":0.34200000762939453},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.3346000015735626},{"id":"https://openalex.org/C203915360","wikidata":"https://www.wikidata.org/wiki/Q352454","display_name":"Critical care nursing","level":3,"score":0.31450000405311584},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.30399999022483826},{"id":"https://openalex.org/C2778194526","wikidata":"https://www.wikidata.org/wiki/Q901674","display_name":"Amniotic fluid","level":4,"score":0.2971000075340271},{"id":"https://openalex.org/C2781300812","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Shock (circulatory)","level":2,"score":0.2888000011444092},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2874000072479248},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2842999994754791},{"id":"https://openalex.org/C2991859549","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Critically ill","level":2,"score":0.28299999237060547},{"id":"https://openalex.org/C2776890885","wikidata":"https://www.wikidata.org/wiki/Q1067560","display_name":"Vital signs","level":2,"score":0.27070000767707825},{"id":"https://openalex.org/C2781380643","wikidata":"https://www.wikidata.org/wiki/Q17011656","display_name":"Septic abortion","level":4,"score":0.26919999718666077},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.2639000117778778},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.2581000030040741}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.52340/gs.2026.08.04(1).54","doi":"https://doi.org/10.52340/gs.2026.08.04(1).54","is_oa":true,"landing_page_url":"https://doi.org/10.52340/gs.2026.08.04(1).54","pdf_url":null,"source":{"id":"https://openalex.org/S4210238182","display_name":"GEORGIAN SCIENTISTS","issn_l":"2667-9760","issn":["2667-9760"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4387155489","host_organization_name":"Association for Science","host_organization_lineage":["https://openalex.org/I4387155489"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"GEORGIAN SCIENTISTS","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.52340/gs.2026.08.04(1).54","doi":"https://doi.org/10.52340/gs.2026.08.04(1).54","is_oa":true,"landing_page_url":"https://doi.org/10.52340/gs.2026.08.04(1).54","pdf_url":null,"source":{"id":"https://openalex.org/S4210238182","display_name":"GEORGIAN SCIENTISTS","issn_l":"2667-9760","issn":["2667-9760"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4387155489","host_organization_name":"Association for Science","host_organization_lineage":["https://openalex.org/I4387155489"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"GEORGIAN SCIENTISTS","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Obstetric":[0],"sepsis":[1,83],"and":[2,11,20,40,48,64,79,84,105,108,138,181,184,205,217,220,235,275],"septic":[3,85,159],"shock":[4],"remain":[5],"life-threatening":[6],"complications":[7],"of":[8,33,81,92,97,102,110,126,136,141,179],"pregnancy,":[9],"childbirth,":[10],"the":[12,77,119,155,166,177,185,225],"postpartum":[13,206],"period,":[14],"requiring":[15],"rapid":[16],"recognition,":[17,266],"coordinated":[18,276],"resuscitation,":[19,268],"timely":[21],"source":[22,174,273],"control.":[23],"Physiological":[24],"changes":[25],"associated":[26],"with":[27,161],"pregnancy":[28],"may":[29],"obscure":[30],"early":[31,90,139,265],"signs":[32],"clinical":[34,95,168],"deterioration,":[35,94],"while":[36],"delays":[37],"in":[38,158,224,251],"diagnosis":[39],"treatment":[41],"can":[42],"rapidly":[43],"lead":[44],"to":[45,165,195,242,246,260],"multiorgan":[46],"dysfunction":[47],"maternal":[49,93,262],"death.":[50],"Effective":[51],"management":[52,80,178],"therefore":[53],"requires":[54],"close":[55],"collaboration":[56],"between":[57],"obstetricians,":[58],"intensivists,":[59],"anesthesiologists,":[60],"emergency":[61],"physicians,":[62],"microbiologists,":[63],"other":[65],"relevant":[66],"specialists.":[67],"This":[68],"presentation":[69,171,240],"focuses":[70],"on":[71,118],"contemporary":[72],"critical":[73,207],"care":[74,227,237],"strategies":[75],"for":[76,187,210],"recognition":[78],"obstetric":[82,189,234,254],"shock.":[86],"Key":[87],"topics":[88],"include":[89],"identification":[91],"assessment":[96,135,200],"organ":[98,222],"dysfunction,":[99,219],"appropriate":[100,269],"use":[101],"laboratory":[103],"investigations":[104],"microbiological":[106],"cultures,":[107],"evaluation":[109],"potential":[111],"infectious":[112],"sources.":[113],"Particular":[114],"emphasis":[115],"is":[116,152,193,259],"placed":[117],"initial":[120],"resuscitation":[121],"bundle,":[122],"including":[123,176],"prompt":[124],"administration":[125],"empiric":[127],"broad-spectrum":[128],"antimicrobials,":[129],"individualized":[130],"intravenous":[131],"fluid":[132,149,212],"therapy,":[133,271],"repeated":[134],"perfusion,":[137],"initiation":[140],"vasopressor":[142,157],"support":[143,223],"when":[144,201],"hypotension":[145],"persists":[146],"despite":[147],"adequate":[148],"resuscitation.":[150],"Norepinephrine":[151],"discussed":[153],"as":[154],"first-line":[156],"shock,":[160],"hemodynamic":[162],"targets":[163],"adapted":[164],"individual":[167],"situation.":[169],"The":[170,256],"also":[172,230],"addresses":[173],"control,":[175,274],"intrauterine":[180],"postoperative":[182],"infections,":[183],"indications":[186],"urgent":[188],"intervention.":[190],"Special":[191],"consideration":[192],"given":[194],"pregnancy-specific":[196],"physiological":[197],"changes,":[198],"fetal":[199],"applicable,":[202],"delivery-related":[203],"decision-making,":[204],"care.":[208,278],"Strategies":[209],"preventing":[211],"overload,":[213],"recognizing":[214],"evolving":[215],"respiratory":[216],"renal":[218],"providing":[221],"intensive":[226,236],"unit":[228],"are":[229],"reviewed.":[231],"By":[232],"integrating":[233],"perspectives,":[238],"this":[239],"aims":[241],"strengthen":[243],"clinicians\u2019":[244],"ability":[245],"make":[247],"timely,":[248],"evidence-informed":[249],"decisions":[250],"critically":[252],"ill":[253],"patients.":[255],"overarching":[257],"objective":[258],"improve":[261],"outcomes":[263],"through":[264],"goal-directed":[267],"antimicrobial":[270],"definitive":[272],"multidisciplinary":[277]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}