{"id":6357,"date":"2021-03-04T09:58:35","date_gmt":"2021-03-04T09:58:35","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=6357"},"modified":"2021-07-01T10:44:54","modified_gmt":"2021-07-01T09:44:54","slug":"the-fast-m-complex-intervention-for-the-detection-and-management-of-maternal-sepsis-in-low-resource-settings-a-multi-site-evaluation-2021","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2021\/03\/04\/the-fast-m-complex-intervention-for-the-detection-and-management-of-maternal-sepsis-in-low-resource-settings-a-multi-site-evaluation-2021\/","title":{"rendered":"The FAST-M complex intervention for the detection and management of maternal sepsis in low-resource settings: a multi-site evaluation (2021)"},"content":{"rendered":"

Type of publication:<\/strong>
\nJournal article<\/p>\n

Author(s):<\/strong>
\nCheshire, James; Jones, Laura; Munthali, Laura; Kamphinga, Christopher; Liyaya, Harry; Phiri, Tarcizius; *Parry-Smith, William; Dunlop, Catherine; Makwenda, Charles; Devall, Adam James; Tobias, Aurelio; Nambiar, Bejoy; Merriel, Abi; Williams, Helen Marie; Gallos, Ioannis; Wilson, Amie; Coomarasamy, Arri; Lissauer, David<\/p>\n

Citation:<\/strong>
\nBJOG : an international journal of obstetrics and gynaecology; Jul;128(8):1324-1333<\/p>\n

Abstract:<\/strong>
\nOBJECTIVE To evaluate whether the implementation of the FAST-M complex intervention was feasible and improved the recognition and management of maternal sepsis in a low-resource setting.DESIGNA before and after design.SETTINGFifteen government healthcare facilities in Malawi.POPULATION Women suspected of having maternal sepsis.METHODS The FAST-M complex intervention consisted of the following components: i) the FAST-M maternal sepsis treatment bundle and ii) the FAST-M implementation programme. Performance of selected process outcomes were compared between a two month baseline phase and six month intervention phase with compliance used as a proxy measure of feasibility.MAIN OUTCOME RESULT Compliance with vital sign recording and use of the FAST-M maternal sepsis bundle.RESULTS Following implementation of the FAST-M intervention, women were more likely to have a complete set of vital signs taken on admission to the wards (0\/163 (0%) vs. 169\/252 (67.1%), p<0.001). Recognition of suspected maternal sepsis improved with more cases identified following the intervention (12\/106 (11.3%) vs. 107\/166 (64.5%), p<0.001). Sepsis management improved, with women more likely to receive all components of the FAST-M treatment bundle within one hour of recognition (0\/12 (0%) vs. 21\/107 (19.6%), p=0.091). In particular women were more likely to receive antibiotics (3\/12 (25.0%) vs. 72\/107 (67.3%), p=0.004) within one hour of recognition of suspected sepsis.CONCLUSION Implementation of the FAST-M complex intervention was feasible and led to the improved recognition and management of suspected maternal sepsis in a low-resource setting such as Malawi.<\/p>\n

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