Retrospective Analysis of Obstetric Intensive Care Unit Admissions Reveals Differences in Etiology for Admission Based on Mode of Conception

Abstract

(Anesth Analg. 2020;130:436–444) As births using assisted reproductive technology increase, the maternal and neonatal safety of these pregnancies continues to be of concern. There are established associations between assisted reproductive technology pregnancies and a number of adverse outcomes, including gestational diabetes, hypertensive disorders of pregnancy, obstetric hemorrhage, abnormal placentation, and cesarean delivery. There is a lack of studies examining the risk of intensive care unit (ICU) admission in women using assisted reproductive technology. This study compared parturients who conceived via in vitro fertilization (IVF) and those who did not in terms of etiology and course of ICU admission, particularly focusing on postpartum hemorrhage.

Prediction of mechanical ventilation greater than 24 hours in critically ill obstetric patients: ten years of data from a tertiary teaching hospital in mainland China

“…Due to the implementation of the two-child policy in China, since 2016, the number of pregnant women with an older maternal age and history of caesarean section has increased, which has further increased the incidence of gestational diabetes mellitus, dangerous placenta previa, placental implantation, and severe postpartum haemorrhage [3][4][5]. Maternal admission to the intensive care unit (ICU) during pregnancy or in the postpartum period is a marker of SAMM [2,[6][7][8][9][10][11]. ICU admission of pregnant and postpartum women presents significant challenges to ICU clinicians because of altered maternal physiology, fetal considerations and medical emergencies associated with pregnancy [12,13].…”

Prediction of mechanical ventilation greater than 24 hours in critically ill obstetric patients: Ten years of data from a tertiary teaching hospital in mainland China

“…Maternal admission to the intensive care unit (ICU) during pregnancy or in the postpartum period is a marker of SAMM [2,[6][7][8][9][10][11]. ICU admission of pregnant and postpartum women presents signi cant challenges to ICU clinicians because of altered maternal physiology, fetal considerations and medical emergencies associated with pregnancy [12,13].…”