妊娠期和产褥期脓毒症是导致孕产妇死亡的重要原因之一，起病急、进展快，延误治疗可导致患者预后恶化。产科医生应加强对脓毒症的认识，早期发现和治疗以减少发病率。当感染或疑似感染的患者出现脏器功能损害，无法用其他原因解释时，要考虑到脓毒症的诊断，多个评分量表有助于早期筛查与评估。在积极救治的过程中强调在脓毒症患者中的"1小时集束化治疗"，不要过分强调识别可能导致产科脓毒症感染原因的重要性，同时要尽快完善相关检查，针对病因做出相应处理。终止妊娠的时机应个体化。

Sepsis during pregnancy and puerperium is one of the important causes of maternal death. The onset and progress is rapid. Delay in treatment may lead to worsen prognosis. Obstetricians should strengthen their understanding of sepsis to reduce the incidence and promote early detection and treatment. When an infection or suspected infection occurs with end-organ damage of unknown cause, the diagnosis of sepsis should be considered. Multiple score scales are helpful for early screening and evaluation. "1 h cluster treatment" is emphasized in treatment of patients with sepsis. The importance of identifying in obstetric sepsis infection cause should not be overemphasized. Meanwhile, relevant inspections should be improved as soon as possible, and treatment should be made according to the etiology. The timing of termination should be individualized.