Group A Streptococcal Sepsis in an Uncomplicated Underwater Vaginal Delivery

Carlan SJ*, Ashton, McWhort

Abstract

Pregnancy related Group A streptococcal sepsis has a high morbidity and mortality. It is usually an ascending infection that can rapidly progress to life threating shock. A woman had an uncomplicated full term vaginal delivery in a planned underwater birth and four days postpartum presented with Group A streptococcal puerperal sepsis. It is unlikely that the underwater birth contributed to either her initial sepsis or the complicated clinical course.