Intensive care unit admissions during the puerperium in Ibadan

Eyelade, Olayinka R; Amanor-Boadu, S.D.; Sanusi, Arinola; Oluwole, Oluleke; Sotunmbi, P T; Soyannwo, Olaitan; Oladokun, Adesina

doi:10.4314/tjog.v22i1.14544

Cited by 2 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study the rate of maternal admission was 2.9% of annual deliveries, with about 49% maternal deaths and with over 50% of the maternal admissions coming from the Unbooked Labour ward. The maternal poor outcome in this study is comparable with the findings of Eyelade and Olamijulo et al [14] [15] and it has not decreased [15] and they were attributed to well-known causes which included sepsis, obstetric haemorrhage, complications of hypertensive disorders of pregnancy and pulmonary embolism (Figure 1). The source of most of the poor outcome remains the Unbooked Labour ward (Table 2) which collaborates with reports by Ozumba et al…”

Section: Discussionsupporting

confidence: 90%

A 365-Day Record of Maternal Admissions in Intensive Care Unit at the University of Port Harcourt Teaching Hospital in Nigeria

Otokwala¹,

John²

2023

JBM

View full text Add to dashboard Cite

BACKGROUND. The intensive care unit provides critically ill patients with the necessary monitoring, care and supports to optimize their organ/system functions. Parturients are often at risk of sudden deteriorations or exacerbation of chronic illnesses from direct or indirect causes and would often require admissions into the intensive care or high dependency unit. This study is aimed at looking at the trends of maternal admissions in 365 days at the intensive care unit of a tertiary teaching hospital in Southern part of Nigeria, a country that contributes significantly to the global proportion of maternal morbidity and mortality. METHODS. The study adopted a retrospective approach. All critically ill parturients admitted and requiring organ support or close monitoring in the ICU had their files and ICU documents reviewed. The review was held from January-December 2018. RESULTS. Thirty-nine (39) parturients with a mean age (years) of 33 ± 1.3 were admitted, representing 2.9% of annual deliveries. All admissions were postnatal and came predominantly from the unbooked labour ward (51%) and the time lag from maternal deteriorations to presentation to the ICU was 72 ± 10 hours. The main indications for admissions were due to postpartum haemorrhage (33.3%), complications of hypertensive disorders of pregnancy (30.9%) and sepsis (25.6%). Nineteen (48.7%) patients died from obstetric haemorrhage, complications of hypertensive disorders of pregnancy, sepsis and pulmonary embolism. CONCLUSION. The trend of maternal admissions at this specific time frame reflects the burden of maternal critical care in our environment. It highlights the need to holistically tackle the known scourge with improved care.

show abstract

Section: Discussionsupporting

confidence: 90%

A 365-Day Record of Maternal Admissions in Intensive Care Unit at the University of Port Harcourt Teaching Hospital in Nigeria

Otokwala¹,

John²

2023

JBM

View full text Add to dashboard Cite

show abstract

“…The rate of obstetric admission to the ICU in this study of 1.7% is similar to the 1.86% reported by Eyelade in Ibadan. [ 13 ] This is, however, higher than the 0.28% of deliveries reported by Okafor and Aniebue in Enugu and 0.73% of deliveries reported by Ebirim and Ojum in Port Harcourt, Nigeria. [ 6 7 ] The reason for the differences in the incidence of ICU admissions in different centers might be due to the peculiar indications for admission in such centers.…”

Section: Discussionmentioning

confidence: 91%

“…The sociodemographic characteristics of the patients who had ICU admission in this study are essentially similar to the previous reports in low-resource settings. [ 2 11 13 14 ]…”

Section: Discussionmentioning

confidence: 99%

“…Ruptured uterus being the most common indication for ICU admission in this study is different from other studies where hypertensive disorders or obstetric hemorrhage were the most common indication for admission. [ 2 6 7 13 16 ] This could be because most of the patients admitted to ICU in this study were of low socioeconomic status and had poor health-seeking behavior. Thus, this was reflected by the fact that majority of the patients were unbooked for antenatal care.…”

Section: Discussionmentioning

confidence: 99%

“…Despite a similar profile of obstetric patients admitted to ICUs, the maternal mortality rate in the ICU is significantly higher in under-resourced countries compared to developed countries. [ 12 13 ] This is because ICU-admitted patients in under-resourced countries tend to have higher illness severity scores, suggesting delayed admission to the ICU. [ 12 13 14 ] The perinatal mortality associated with maternal critical illness is also significantly higher than in normal parturients who do not have any complications.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pattern and outcome of obstetric admissions into the intensive care unit of a Southeast Nigerian Hospital

Ozumba¹,

Ajah²,

Okwuchukwu³

et al. 2018

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

Background and Aims:Although pregnancy and labor are considered physiological processes, the potential for catastrophic complications is constant and may develop rapidly. There is growing evidence that admission of high-risk patients into the Intensive Care Unit (ICU) is associated with a reduction in maternal mortality. This study was aimed at reviewing all obstetric patients admitted into the ICU.Materials and Methods:This was a retrospective study of all obstetric patients who were admitted into the ICU between January 1, 2012, and December 31, 2013.Results:There were 89 obstetric patients admitted and managed at the ICU out of 5176 deliveries, thereby accounting for 1 admission in 58 deliveries. Majority of the patients were between 26 and 30 years, primiparous, and unbooked. The indications for ICU admission in this study were ruptured uterus (36.0%), eclampsia (22.5%), obstetric hemorrhage (19.1%), septicemia (10.1%), severe preeclampsia (6.7%), and obstructed labor (6.7%). The maternal and perinatal mortality was 13.5% and 47.2%, respectively. Maternal unbooked status was significantly associated with maternal mortality (P < 0.05).Conclusion:Ruptured uterus was the most common indication for ICU admission in the center. Maternal mortality was significantly associated with unbooked status. This underscores the importance of booking for antenatal care, prompt presentation at the hospital during emergencies, skilled birth attendance, and provision of adequate facilities for the management of critical obstetric cases in this environment.

show abstract

Intensive care unit admissions during the puerperium in Ibadan

Cited by 2 publications

References 0 publications

A 365-Day Record of Maternal Admissions in Intensive Care Unit at the University of Port Harcourt Teaching Hospital in Nigeria

A 365-Day Record of Maternal Admissions in Intensive Care Unit at the University of Port Harcourt Teaching Hospital in Nigeria

Pattern and outcome of obstetric admissions into the intensive care unit of a Southeast Nigerian Hospital

Contact Info

Product

Resources

About