Maternal Intensive Care Unit Admission as an Indicator of Severe Acute Maternal Morbidity: A Population-Based Study

Godeberge, Charlotte; Deneux‐Tharaux, Catherine; Seco, Aurélien; Rossignol, Mathias; Chantry, Anne; Bonnet, Marie‐Pierre

doi:10.1213/ane.0000000000005578

Cited by 10 publications

(8 citation statements)

References 43 publications

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“…For obstetric patients, a prolonged ICU stay can not only have a physical impact but also affect their mental well-being. 5,6 In the general population, up to 35% of patients can experience depression or anxiety, and up to 20% of patients experience posttraumatic stress disorder. Patients with pre-existing psychiatric disorders are particularly at risk.…”

Section: Introductionmentioning

confidence: 99%

Resuscitation in obstetric care

Brennan,

Angelidis

2023

International Anesthesiology Clinics

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Section: Introductionmentioning

confidence: 99%

Resuscitation in obstetric care

Brennan,

Angelidis

2023

International Anesthesiology Clinics

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“…Currently, there is no accepted operational definition for SAMM, and it has been evaluated using diverse criteria across studies [ 5 – 7 ]. The World Health Organization (WHO) developed a tool including organ system dysfunction parameters for defining SAMM [ 5 ], however, some investigators consider that the application of this tool may be too complex in both low and high-income countries [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…ICU admission has a high sensitivity and specificity for identifying most very sick women (the near miss maternal patients) [ 6 , 9 ]. Thus, obstetric patients with SAMM in the intensive care unit (ICU) represent the most critically ill obstetric patients and can be considered as an alternative marker for SAMM [ 6 , 7 ]. The ICU SAMM admission rate ranges from 0.04 to 4.54%, and the main causes are hypertensive disorders of pregnancy, obstetric haemorrhage, and sepsis [ 10 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

Social determinants and exposure to intimate partner violence in women with severe acute maternal morbidity in the intensive care unit: a systematic review

Ayala Quintanilla,

Taft,

McDonald

et al. 2023

BMC Pregnancy Childbirth

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Background Studying severe acute maternal morbidity in the intensive care unit improves our understanding of potential factors affecting maternal health. Aim To review evidence on maternal exposure to intimate partner violence and social determinants of health in women with severe acute maternal morbidity in the intensive care unit. Methods The protocol for this review was registered in PROSPERO (registration number CRD42016037492). A systematic search was performed in MEDLINE, CINAHL, ProQuest, LILACS and SciELO using the search terms “intensive care unit”, “intensive care”, “critical care” and “critically ill” in combination with “intimate partner violence”, “social determinants of health”, “severe acute maternal morbidity”, pregnancy, postpartum and other similar terms. Eligible studies were (i) quantitative, (ii) published in English and Spanish, (iii) from 2000 to 2021, (iv) with data related to intimate partner violence and/or social determinants of health, and (v) investigating severe acute maternal morbidity (maternity patients treated in the intensive care unit during pregnancy, childbirth or within 42 days of pregnancy termination). Of 52,866 studies initially identified, 1087 full texts were assessed and 156 studies included. Studies were independently assessed by two reviewers for screening, revision, quality assessment and abstracted data. Studies were categorised into high/middle/low-income countries and summarised data were presented using a narrative description, due to heterogenic data as: (i) exposure to intimate partner violence and (ii) social determinants of health. Results One study assessed intimate partner violence among mothers with severe acute maternal morbidity in the intensive care unit and found that women exposed to intimate partner violence before and during pregnancy had a nearly four-fold risk of severe acute maternal morbidity requiring ICU admission. Few social determinants of health other than age were reported in most studies. Conclusion This review identified a significant gap in knowledge concerning intimate partner violence and social determinants of health in women with severe acute maternal morbidity in the intensive care unit, which is essential to better understand the complete picture of the maternal morbidity spectrum and reduce maternal mortality.

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“…5 , 6 Although severe maternal morbidity frequently requires critical care, admission to an intensive care unit might occur for unrelated reasons. 7 Some women might be admitted simply out of caution. Critical care admission cannot capture severe maternal morbidity in hospital centres that do not have intensive care units.…”

mentioning

confidence: 99%