{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T13:50:21Z","timestamp":1791726621455,"version":"4.3.4"},"reference-count":25,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001631","name":"University College Dublin","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001631","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics & Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ejogrb.2026.115251","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T23:32:20Z","timestamp":1781566340000},"page":"115251","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Epidemiology, comorbidity patterns and outcomes of maternal sepsis-related coded discharges in Ireland 2020\u20132025"],"prefix":"10.1016","volume":"324","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1199-6793","authenticated-orcid":false,"given":"Nandakumar","family":"Ravichandran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Fitzpatrick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Hayes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diarmuid","family":"Quinlan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mick","family":"Molloy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Etimbuk","family":"Umana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomas","family":"Breslin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aoife","family":"Cotter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"Cullen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejogrb.2026.115251_b0005","unstructured":"World Health Organization. Maternal sepsis [Available from: https:\/\/www.who.int\/teams\/sexual-and-reproductive-health-and-research-(srh)\/areas-of-work\/maternal-and-perinatal-health\/maternal-sepsis."},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115251_b0010","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.bpa.2022.03.003","article-title":"Maternal sepsis","volume":"36","author":"Filetici","year":"2022","journal-title":"Best Pract Res Clin Anaesthesiol"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115251_b0015","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1186\/s12879-021-06779-0","article-title":"The global burden and trends of maternal sepsis and other maternal infections in 204 countries and territories from 1990 to 2019","volume":"21","author":"Chen","year":"2021","journal-title":"BMC Infect Dis"},{"key":"10.1016\/j.ejogrb.2026.115251_b0020","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s12884-015-0789-4","article-title":"Constructing maternal morbidity - towards a standard tool to measure and monitor maternal health beyond mortality","volume":"16","author":"Chou","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115251_b0025","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1186\/s12884-025-07722-w","article-title":"Maternal sepsis and other maternal infections: Global Burden from 1990 to 2021","volume":"25","author":"Cao","year":"2025","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.ejogrb.2026.115251_b0030","first-page":"134","article-title":"Maternal sepsis: a 5-year single center review","volume":"118","author":"McCormick","year":"2025","journal-title":"Ir Med J"},{"key":"10.1016\/j.ejogrb.2026.115251_b0035","series-title":"Measuring Patient Safety","author":"OECD","year":"2018"},{"issue":"9","key":"10.1016\/j.ejogrb.2026.115251_b0040","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1513\/AnnalsATS.201503-136FR","article-title":"A practical, global perspective on using administrative data to conduct intensive care unit research","volume":"12","author":"Garland","year":"2015","journal-title":"Ann Am Thorac Soc"},{"key":"10.1016\/j.ejogrb.2026.115251_b0045","unstructured":"European Centre for Disease Prevention and Control. Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals. 2024."},{"issue":"8","key":"10.1016\/j.ejogrb.2026.115251_b0050","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1001\/jama.2016.0288","article-title":"Assessment of clinical criteria for sepsis: for the third international consensus definitions for sepsis and septic shock (Sepsis-3)","volume":"315","author":"Seymour","year":"2016","journal-title":"J Am Med Assoc"},{"issue":"3","key":"10.1016\/j.ejogrb.2026.115251_b0055","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/AOG.0000000000004022","article-title":"An expanded obstetric comorbidity scoring system for predicting severe maternal morbidity","volume":"136","author":"Leonard","year":"2020","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2026.115251_b0060","series-title":"Activity in Acute Public Hospitals in Ireland Annual Report, 2020","author":"Healthcare Pricing Office","year":"2021"},{"key":"10.1016\/j.ejogrb.2026.115251_b0065","series-title":"Activity in Acute Public Hospitals in Ireland Annual Report, 2021","author":"Healthcare Pricing Office","year":"2022"},{"key":"10.1016\/j.ejogrb.2026.115251_b0070","series-title":"Activity in Acute Public Hospitals in Ireland Annual Report, 2022","author":"Healthcare Pricing Office","year":"2023"},{"key":"10.1016\/j.ejogrb.2026.115251_b0075","series-title":"Activity in Acute Public Hospitals in Ireland Annual Report, 2023","author":"Healthcare Pricing Office","year":"2024"},{"key":"10.1016\/j.ejogrb.2026.115251_b0080","series-title":"Activity in Acute Public Hospitals in Ireland Annual Report, 2024","author":"Healthcare Pricing Office","year":"2025"},{"key":"10.1016\/j.ejogrb.2026.115251_b0085","unstructured":"Authority HIaQ. Investigation into the safety, quality and standards of services provided by the Health Service Executive to patients, including pregnant women, at risk of clinical deterioration, including those provided in University Hospital Galway, and as reflected in the care and treatment provided to Savita Halappanavar. 2013."},{"key":"10.1016\/j.ejogrb.2026.115251_b0090","unstructured":"Royal College of Physicians of Ireland. Institute of Obstetricians and Gynaecologists. National Clinical Guidelines in Obstetrics and Gynaecology [Available from: https:\/\/www.rcpi.ie\/Faculties-Institutes\/Institute-of-Obstetricians-and-Gynaecologists\/National-Clinical-Guidelines-in-Obstetrics-and-Gynaecology."},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115251_b0095","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1007\/s11845-019-02028-1","article-title":"Irish maternal early warning score","volume":"189","author":"Nair","year":"2020","journal-title":"Ir J Med Sci"},{"key":"10.1016\/j.ejogrb.2026.115251_b0100","unstructured":"Department of Health. Irish Maternity Early Warning System (IMEWS) V2, National Clinical Guideline No. 4."},{"key":"10.1016\/j.ejogrb.2026.115251_b0105","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2022.1046100","article-title":"From maternal breath to infant's cells: Impact of maternal respiratory infections on infants 'immune responses","volume":"10","author":"Dauby","year":"2022","journal-title":"Front Pediatr"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115251_b0110","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.iac.2005.11.003","article-title":"The management of respiratory infections during pregnancy","volume":"26","author":"Laibl","year":"2006","journal-title":"Immunol Allergy Clin North Am"},{"key":"10.1016\/j.ejogrb.2026.115251_b0115","article-title":"Impact of diabetes on the severity of COVID-19 infection in pregnant women \u2013 a single-center descriptive study","volume":"16","author":"Kurian","year":"2021","journal-title":"Diab Metab Syndr: Clin Res Rev"},{"issue":"8","key":"10.1016\/j.ejogrb.2026.115251_b0120","doi-asserted-by":"crossref","DOI":"10.3390\/microorganisms11081956","article-title":"The Association between gestational diabetes mellitus and infections in pregnancy-systematic review and meta-analysis","volume":"11","author":"Yefet","year":"2023","journal-title":"Microorganisms"},{"issue":"2","key":"10.1016\/j.ejogrb.2026.115251_b0125","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.ijoa.2015.03.004","article-title":"MBRRACE-UK: saving lives, improving mothers' care - implications for anaesthetists","volume":"24","author":"Freedman","year":"2015","journal-title":"Int J Obstet Anesth"}],"container-title":["European Journal of Obstetrics & Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211526003192?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211526003192?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T20:29:11Z","timestamp":1783974551000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211526003192"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":25,"alternative-id":["S0301211526003192"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2026.115251","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Epidemiology, comorbidity patterns and outcomes of maternal sepsis-related coded discharges in Ireland 2020\u20132025","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2026.115251","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"115251"}}