GOT Gas? Surviving Puerperal Group a Sepsis (GAS) a Case Presentation and Implications for Practice

Postpartum sepsis was common in the distant past, rare in recent past, but has re-emerged in the past decade with a 20 fold increase among postpartum compared with non-pregnant women. Typical symptoms of endometritis may not be present. Atypical, non-specific symptoms are common and can progress rapidly to critical illness/death within a few hours to days. Recommendations include consideration of eliminating GAS infection from the differential of patients presenting with atypical symptoms because identification is so difficult, but can be lifesaving.