Obstetric admissions to the intensive care unit in a tertiary referral hospital

Study of Obstetric Admissions to the Intensive Care Unit of a Tertiary Care Hospital

“…Sepsis was seen in the range of 2.4-18.3 in other studies [10,13,16,24,25]. Three studies reported sepsis rates similar to our study [6,7,14].…”

Clinical Characteristics and Outcome of Obstetric Patients Who Required Mechanical Ventilation in a Tertiary Care Hospital in North Kerala

“…Maternal and perinatal morbidity and mortality are significantly elevated in obstetric patients requiring mechanical ventilation 7 possibly due to severity of maternal illness and early gestational age.A critically ill pregnant woman poses major challenges to physicians.The serious illness that complicate pregnancy may be unique to pregnancy,but other medical conditions that affect nonpregnant women also may complicate pregnancy.Early identification of critical illness is essential to provide aggressive support and resuscitation including ventilatory support and reduce maternal mortality.Majority of the patients belonged to 20 to 35 years age group(88%)similar to the study of Shaikh.S et al 1 .In our study 53.3% were primipara,which contradicts with the same study 1 .80% were admitted antepartum similar to 78% in study by Shaikh.s et al 1 and German A Monsalve 6 .Most were in the gestational age between 30 and 36 weeks (40%), similar to study by Turkan Togal 3 .72% were transferred from another institution similar to study by Helen R Barrett 8 .Hypertensive disorders were found to be the most important antepartum risk factor (29.3%), similar to study by Vivek Kumar 4 .Other antepartum complications included placenta accreta 9.3%,abruption 6.67%,multiple pregnancy 5.33%,AFLP 2.67% and gestational diabetes in 2.67%. The most important preexisting medical complication was heart disease ,in 3 cases(4%).32% required transfusion of more than 10 units of blood and blood products probably due to the high incidence of postpartum hemorrhage.…”

Outcomes of Antepartum and Postpartum Obstetric Admissions to the Intensive Care Unit of A Tertiary University Hospital: An 8-Year Review

“…Pregnancy-related ICU admission rates in developed countries have been reported to be less than 2%, whereas those in developing countries have been reported to be more than 10% of the total deliveries (1,3,7,(15)(16)(17)(18) (2). The differences in admission rates might be related to the change in ICU admission criteria over time.…”

“…Anahtar Sözcükler: Gebelik, anne sağlığı, YB kabulleri, maternal morbidite, maternal mortalite Abstract / Öz after delivery requiring admission to intensive care facilities are therefore necessary to determine future requirements for the critical care of obstetric patients (7). To our best of knowledge, only few studies have reported maternal mortality and morbidity among obstetric patients in Turkey (2,5); there is no recent report on the comparison of antepartum and postpartum reasons requiring admission to obstetric intensive care and the outcomes of obstetric intensive care in Turkey. Therefore, in the present study, we aimed to retrospectively review obstetric admissions to the intensive care unit (ICU) of a tertiary university hospital over an 8-year period to provide an indicator for improving the management of critically ill obstetric patients at our institution.…”