Profile of obstetric patients in intensive care unit -a retrospective study

Authors

  • Nandini Bhavanam Department of Obstetrics and Gynecology, Sri Devaraj Academy of Higher Education and Research, Kolar, Karnataka, India https://orcid.org/0000-0001-6474-6694
  • Munikrishna Munisamaiah Department of Obstetrics and Gynecology, Sri Devaraj Academy of Higher Education and Research, Kolar, Karnataka, India
  • Pavithra Jayalingegowda Department of Obstetrics and Gynecology, Sri Devaraj Academy of Higher Education and Research, Kolar, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20230525

Keywords:

Obstetric critical care, Intensive care unit, Maternal mortality

Abstract

Background: Obstetric patients form a particular subgroup of population to intensive care admission. Pregnancy specific problems like pre-eclampsia, postpartum haemorrhage or deterioration of pre-existent conditions can be sudden and life threatening, requiring immediate intensive management and monitoring. The main objective was to determine the pattern and outcome of obstetric admissions to intensive care unit.

Methods: It was a retrospective study from June 2020 to June 2022. Obstetric patients admitted to intensive care unit were included in the study. Data were obtained from the patient’s case notes and records from the ICU and were entered into a predesigned proforma.

Results: Maximum study subjects were between age group 21-25 years of age. Most of them were primigravida and admitted in the postpartum period. The most common indications for admission to ICU were preeclampsia with severe features followed by obstetric haemorrhage. The mortality rate was 18.8% and shock attributing to the main cause.

Conclusions: Maternal and child health have become an important measure of human and social development. Early and prompt diagnosis and treatment of high-risk obstetric patients in intensive care unit can prevent and ameliorate serious maternal morbidity.

References

Ramlakhan KP, Gommers D, Jacobs CE, Makouri K, Duvekot JJ, Reiss IK, et al. Women of reproductive age in a tertiary intensive care unit: indications, outcome and the impact of pregnancy—a retrospective cohort study. BMC Women’s Health. 2021;21(1):248.

Ozumba B, Ajah L, Obi V, Umeh U, Enebe J, Obioha K. Pattern and outcome of obstetric admissions into the intensive care unit of a Southeast Nigerian Hospital. Indian J Crit Care Med. 2018;22(1):16-9.

Harde M, Dave S, Wagh S, Gujjar P, Bhadade R, Bapat A. Prospective evaluation of maternal morbidity and mortality in post-cesarean section patients admitted to postanesthesia intensive care unit. J Anaesthesiol Clin Pharmacol. 2014;30(4):508.

Bhadade R, de’Souza R, More A, Harde M. Maternal outcomes in critically ill obstetrics patients: a unique challenge. Indian J Crit Care Med. 2012;16(1):8.

Jain S, Guleria K, Vaid NB, Suneja A, Ahuja S. Predictors and outcome of obstetric admissions to intensive care unit: a comparative study. Indian J Public Health. 2016;60(2):159.

Gombar S, Ahuja V, Jafra A. A retrospective analysis of obstetric patient's outcome in intensive care unit of a tertiary care center. J Anaesthesiol Clin Pharmacol. 2014;30(4):502.

Dasgupta S, Jha T, Bagchi P, Singh SS, Gorai R, Choudhury SD. Critically ill obstetric patients in a general critical care unit: a 5 years’ retrospective study in a public teaching hospital of Eastern India. Indian J Crit Care Med. 2017;21(5):294.

Zwart JJ, Dupuis JR, Richters A, Öry F, van Roosmalen J. Obstetric intensive care unit admission: a 2-year nationwide population-based cohort study. Intens Care Med. 2010 Feb;36:256-63.

Vasquez DN, Neves AV, Vidal L, Moseinco M, Lapadula J, Zakalik G, et al. Characteristics, outcomes, and predictability of critically ill obstetric patients: a multicenter prospective cohort study. Crit Care Med. 2015;43(9):1887-97.

Sriram S, Robertson MS. Critically ill obstetric patients in Australia: a retrospective audit of 8 years’ experience in a tertiary intensive care unit. Crit Care Resuscit. 2008;10(2):120

Gupta S, Naithani U, Doshi V, Bhargava V, Vijay BS. Obstetric critical care: a prospective analysis of clinical characteristics, predictability, and fetomaternal outcome in a new dedicated obstetric intensive care unit. Indian J Anaesth. 2011;55(2):146.

Downloads

Published

2023-02-27

Issue

Section

Original Research Articles