Critically ill obstetric patients

Kirti Rajesh Bendre, Tanvi Vijay Tuteja, Geeta Madhav Niyogi

Abstract


Background: Objectives: To review all obstetric patients admitted in Intensive Care Unit (ICU) to access ethiology, required interventions, maternal mortality and to identify the conditions associated with maternal death.

Methods: This is a retrospective study carried out in a medical college with tertiary hospital facility in Mumbai. The ICU admissions for a period of 5 years from October 2005 to October 2010 were reviewed.

Results: Over 5 years, 48 out of 10800 obstetric patients were admitted in ICU (0.4%). Most common reasons for admissions were obstetric hemorrhage and preeclampsia. The most common intervention done was transfusion of blood and blood products.

Conclusions: We need better information about high risk obstetrics in order to improve maternal care. The study identifies the risk factors for maternal mortality and severe maternal morbidity, most significant being obstetric hemorrhage. Lack of antenatal care and delay in referral to intensive care unit adversely affect the maternal outcome.

Keywords


Intensive care unit, Obstetrics

Full Text:

PDF

References


Rajab KE, Skerman JH. Obstetric condition requiring intensive admission: a five year survey. The middle East J Emerg Med. 2004;5:1-8.

IIPS. National family health survey. International Institute for population sciences, Mumbai. 2013;8(5):226.

WHO, UNICEF, UNFPA, the World Bank, and the United Nations Population Division. Trends in maternal mortality: 1990 to 2013. In: WHO, eds. WHO Report. Geneva: World Health Organization; 2014.

Naylor DF, Olson MM. Critical care obstetrics and gynecology. Crit Care Clin. 2003;19:127-49.

Hazelgrove JF, Price C. Multicentric study of obstetric admission to 14 intensive care units in Southern England. Crit Care Med. 2001;29:770-5.

Daniela N, Vasquez, Elisa Etenssoro. Clinical characters and outcomes of obstetric patients requiring ICU admission. Chest. 2007;131:718-24.

Mahutte Neal G. Obstetric admissions to the intensive care unit. Obstet Gynecol. 1999;94:263-6.

Yuel Veronica Irene, Kaur Vaneet. Critical care in Obstetrics- scenario in a developing country. J Obstet Gynecol India. 2008;58(3):217-20.

Nita Dalal, Vivek Patkar, N. Karnik. Critical care in obstetrics. Bombay Hosp J. 1999 July;19:512-4.

Sheela CN, Mhaskar A, Mhaskar R. Critical care obstetrics and gynecology. Crit Care Clin. 2003;19:127-49.