Maternal and fetal outcome among patients requiring high-dependency unit admission: a five-year prospective study

Masood, Alaa; Gaballah, Khalid; Omar, Zein A

doi:10.15406/ogij.2018.09.00310

Cited by 2 publications

(5 citation statements)

References 15 publications

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“…Mean parity in our study was 2.01 and 1.89 respectively for medical and obstetric indication groups. While, the mean parity observed in the study by Alaa Masood et al, was 2.2 and 2.4 respectively in medical and obstetric groups 9 .…”

Section: Discussionmentioning

confidence: 67%

“…Mean gestational age in our study group was 31.94 weeks for medical group and 33.73 weeks for obstetric group. While, in study conducted by Alaa Masood, mean gestational age for medical group was 34.3 weeks and obstetric group was 36.5 weeks 9 . Both studies show, that patients develop medical complications at an earlier gestational age as compared to obstetric complications.…”

Section: Discussionmentioning

confidence: 92%

“…In the study conducted by Alaa Masood et al, 4 patients(1.96%) and 14 patients(9.86%) had still birth in obstetric and medical group respectively 9 . patients(95.1%) in obstetric group and 112 patients(78.87%) patients in medical group had good perinatal outcome.…”

Section: Discussionmentioning

confidence: 95%

“…need of intensive monitoring, morbidity and mortality 8 . This indicates need of health care services higher than the traditional obstetric care units 9 .…”

Section: Introductionmentioning

confidence: 92%

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Study of Maternal and Perinatal Outcome in Patients in High Dependency Unit (HDU) in a Tertiary Care Centre

Joshi

Kathaley

Dashrathi

et al. 2019

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Background: It was a retrospective observational study to know demographic factors, indication of High Dependency Unit (HDU) admission, course of stay, maternal and perinatal outcome in patients admitted in HDU in a tertiary care centre. Introduction: Pregnancy and delivery are physiological events. But, they have the potential for life threatening complications. Maternal mortality is an important indicator that reflects quality and adequacy of health care services. Timely intervention and early treatment in patients with high risk pregnancy may reduce further complications i.e. Need of intensive monitoring, morbidity and mortality. Methodology: Total 213 cases with high risk pregnancy admitted in HDU, were included in present study after satisfying inclusion and exclusion criteria. We studied demographic factors, indication of HDU admission and course of stay as well as maternal and perinatal outcome. Results: Majority of the patients i.e. 99 patients (46.48%) were in the age group of 21-25 years. 85 patients i.e. 39.91% were Primigravida while 74 patients i.e. 34.74% were second gravida. Maximum numbers of patients i.e. 173 patients (81.22%) were unregistered. A majority of patients i.e. 136 patients (63.85%) admitted in the HDU had gestational age <37 weeks while 68 patients i.e. 31.93% had gestational age between 37 to 40 weeks. Out of 213 patients, 146 patients i.e. 68.54% had obstetric complications while 67 patients i.e. 31.46% had medical complications. Pre-eclampsia, seen in 74 patients i.e. 34.74%, was the commonest obstetric indication for admission to HDU. Anemia seen in 22 patients i.e. 10.32% was the most common medical indication for HDU admission. Out of 213 patients, 101 patients i.e. 47.42% delivered vaginally, 84 patients i.e. 39.44% underwent caesarean section, 11 patients i.e. 5.16% had abortion whereas 11 patients i.e. 5.16% had ectopic pregnancy. Out of 185 deliveries 131 neonates were perfectly healthy, 37 had still births, 17 needed NICU admission and 9 had Neonatal deaths. Mean HDU stay was 3.31 days. 14 patients out of 213 required ICU care for further management. Mean ICU stay in medical complication group was 0.36 and that for obstetric complication group was 0.19. Out of 213 patients, maternal mortality occurred in 3 patients. Conclusion: Lack of health awareness and delayed referral to tertiary care centre seem to be a major reason for HDU and ICU admission and further maternal and neonatal morbidity and mortality. Timely antenatal registration, antenatal follow ups, prophylactic intervention and anticipation of intensive care can change the scenario hence leading to a decreased maternal morbidity and mortality.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 95%

“…need of intensive monitoring, morbidity and mortality 8 . This indicates need of health care services higher than the traditional obstetric care units 9 .…”

Section: Introductionmentioning

confidence: 92%

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Study of Maternal and Perinatal Outcome in Patients in High Dependency Unit (HDU) in a Tertiary Care Centre

Joshi

Kathaley

Dashrathi

et al. 2019

mvpjms

View full text Add to dashboard Cite

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“…(3) This indicates need of health care services higher than the traditional obstetric care units. (6) Intensive Care Unit / High Dependency Unit (ICU / HDU) is a specially staffed and equipped section of intensive care complex that provides a level of care intermediate between intensive care and general ward care. (7) ICU / HDU facility provides simultaneous expert obstetrics care and critical medical care under one roof.…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Maternal Outcome of Obstetrics Patients Admitted to the Intensive Care Unit: Cross Sectional Observational Study

Reddy

Rani

Chandramathi

2021

Gal Int J Health Sci Res

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Background: According to UNICEF India, annually 44,000 women die due to preventable pregnancy related causes in India. Globally, this ratio is 830 maternal deaths daily according to a WHO newsletter from 2018. ICU / HDU facility provides simultaneous expert obstetrics care and critical medical care under one roof. The concept of ICU / HDU was introduced as a bridge between routine obstetric care and ICU / HDU in under to bypass and decrease the ICU / HDU burden. ICU / HDU care is required for women requiring more detailed observation, intervention including basic support for a single failing organ system, extended post-op care and those stepping down from higher levels of care. Awareness regarding ICU / HDU care and its benefits need to be improved. This study aims to study the maternal outcome of women admitted in tertiary care hospital, Karimnagar, Telangana. Methodology: This is cross sectional observational study was conducted in the department of obstetrics and gynaecology at Chalmeda Anand Rao Institute of Medical Sciences and hospital, Karimnagar, Telangana from June 2019 to March 2020 after obtaining clearance from the institutional scientific and ethical committees. In this study total 600 patients were recruited, out of these 150 patients not met the inclusion criteria & 450 women recruited for questionnaire based proforma, were selected for the study calculated by SPSS 20 software. They have been subjected to thorough history taking, general, obstetric examination and assessment of antenatal records & management & their outcome. Results: The mean age group is 25 yrs. Also found most admission in age group between 20 to 30 yr. Most of the cases were belong to low socioeconomic status (99.2%), Occupationally maximum were unskilled worker (98.3%) in present study, Most of the cases were have secondary level of education (91.6%). In this present study 180 were hypertensive disorder of pregnancy, followed by 128 were haemorrhage disorder of pregnancy, 108 were medical disorder of pregnancy & 34 were sepsis. Maternal mortality was 8.7% in this study. Conclusion: Commonest cause of mortality was hypertensive disorder of pregnancy & more than one diagnosis on admission were the other risk factors for ICU / HDU admission. A dedicated ICU / HDU will go a long way in reducing maternal mortality as the responses time from onset of acute severe illness to provision of high quality critical care will be substantially reduced. Keywords: ICU / HDU, Maternal Outcome, Mortality, Critical Care Unit.

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Maternal and fetal outcome among patients requiring high-dependency unit admission: a five-year prospective study

Cited by 2 publications

References 15 publications

Study of Maternal and Perinatal Outcome in Patients in High Dependency Unit (HDU) in a Tertiary Care Centre

Study of Maternal and Perinatal Outcome in Patients in High Dependency Unit (HDU) in a Tertiary Care Centre

Clinical Characteristics and Maternal Outcome of Obstetrics Patients Admitted to the Intensive Care Unit: Cross Sectional Observational Study

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