Study on clinical profile, scoring systems and outcomes of obstetric patients in our intensive care unit

Swapna Mandala Babu; Deepak Ivan Tauro; Indira Menon; Deepa Das; Shivkumar Shivanna; Philip Karkare

doi:10.18203/2320-1770.ijrcog20222809

Authors

Swapna Mandala Babu Department of Critical Care Medicine, Bangalore Baptist Hospital, Bengaluru, Karnataka, India
Deepak Ivan Tauro Department of Critical Care Medicine, Bangalore Baptist Hospital, Bengaluru, Karnataka, India
Indira Menon Department of Critical Care Medicine, Bangalore Baptist Hospital, Bengaluru, Karnataka, India
Deepa Das Department of Critical Care Medicine, Bangalore Baptist Hospital, Bengaluru, Karnataka, India
Shivkumar Shivanna Department of Critical Care Medicine, Bangalore Baptist Hospital, Bengaluru, Karnataka, India
Philip Karkare Department of Critical Care Medicine, Bangalore Baptist Hospital, Bengaluru, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222809

Keywords:

ICU care, Obstetric patients, OEWS, Interventions, Severity scores

Abstract

Background: Obstetric patients in ICU, pose a clinical challenge to intensivists and obstetricians. The objective of our study was to evaluate the incidence, indications and interventions in these patients. Secondly to assess whether clinical scores can help to estimate severity of the condition, predict mortality and morbidity in these patients.

Methods: It was a retrospective observational study including all antepartum and postpartum patients admitted to ICU between January 2018 to June 2020.

Results: Majority of patients needing ICU care were in the antepartum period (82.8%). Multigravida (55.2%) and unbooked cases (60.4%) constituted a major proportion of patients. Hypertensive disorders of pregnancy followed by sepsis amounted for common etiologies. Transfusions (43.2%), ventilatory support (26%) followed by inotropic support (14.9%) were the interventions required in the majority number of patients. Maternal mortality rate was 2.23%. Out of the clinical scores, OEWS (Obstetric early warning score) was a better modality to assess the severity of the disease and the need for ICU care.

Conclusions: A multidisciplinary approach and close coordinated care of obstetric patients can reduce the maternal mortality rate. Early identification of critically ill obstetric patients using clinical scores can help us in triaging patients to high dependency units/ICU. OEWS is a very simple score which helps us in identifying patients needing intensive care.

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Author Biography

Swapna Mandala Babu, Department of Critical Care Medicine, Bangalore Baptist Hospital, Bengaluru, Karnataka, India

CONSULTANT

DEPARTMENT OF CRITICAL CARE

BANGALORE BAPTIST HOSPITAL

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