ICU ADMISSIONS IN OBSTETRICS: ANALYSIS OF INDICATIONS , INTERVENTIONS AND MORTALITY IN A TERTIARY CARE CENTRE.
- Senior Residents, Deptt of Gynaecology and Obstetrics, Dr RPGMC Tanda.
- Asociate Professor, Deptt of Gynaecology and Obstetrics, Dr RPGMC Tanda.
40 Downloads
165 Views
Abstract
Background: Obstetrics emergencies pose a major challenge to obstetricians and should be managed by multidisciplinary team in ICU.
Objectives: To analyse the demographic pattern, cause of admission ,intervention and maternal outcome in obstetric patients admitted in ICU.
Material and methods: A retrospective observational analysis of 58 obstetric patients admitted and managed in ICU was done. The parameters studied were cause of ICU admission, intervention and outcome of such patients.
Results: Only 58 patients were admitted to ICU over a period of two years which constitutes 0.29% of all the deliveries and 0.27% of all emergency obstetric admissions. The main obstetric indications for ICU admissions were ectopic pregnancy(25.86%), postpartum haemorhage(22.41%) followed by hypertensive disorders(20.68%), antepartum haemorhage(6.89%) and medical disorders(5.17%) The mortality rate among the women admitted in ICU was 8.62%.
Keywords
Article Analytics
References
- Zeeman GG, Wendel GD, Cunningham FG.A blueprint for obstetric critical care. Am J Obstet Gynecol. 2003;188:532-536. Doi:10.1067/mob 2003.95[pubmed]
- Pollock W, Rose L, Dennis CL. Pregnant and postpartum admissions to the intensive care unit: A systematic review. Intensive Care Med. 2010;36:1465-74.
- Baskett TF, O? Connell CM.Maternal critical care in obstetrics. J ObstetGynaecol Can. 2009;31(3):218-221. Doi 10.1016/S1701-2163(16)34119-6 [PubMed]
- .Jain M, Modi JN. An audit of obstetric admissions to intensive care unit in a medical college hospital of central India: lessons in preventing maternal morbidity and mortality. Int J ReprodContraceptObstet Gynecol. 2015; 4(1): 140-145.
- Small MJ, James AH, Kershaw T, etal.Near miss maternal mortality: cardiac dysfunction as the principal cause of obstetric intensive care unit admissions. Obstet Gynecol. 2012; 119: 250-255. doi : 10.1097/AOG. 0b0131824265c7
- Ibrahim IA, Rayis DA, Alsammani MA, et al. Obstetric and gynecologic admissions to the intensive care unit at Khartoum Hospital, Sudan.?Int J Gynecol Obstet.?2015;129(1):84. doi: 10.1016/j.ijgo.2014.10.019
- Bandeira AR, Rezende CA, Reis ZS. Epidemiologic profile, survival, and maternal prognosis factors among women at an obstetric intensive care unit.?Int J Gynaecol Obstet.?2014;124(1):63?66. doi: 10.1016/j.ijgo.2013.07.015.
- Yuel V. Irene, KaurVaneet, KaurGurvinder, AndappamArun, AfzalLalita. Critical care in obstetrics- scenario in a developing country. J ObstetGynaecol India. 2008 May-Jun;58(3):217-20.
- Saha R, Shakya A Study of obstetric patients admitted to Intensive Care Unit (ICU) at Kathmandu Medical College Teaching Hospital Journal of Kathmandu Medical College, Vol. 2, No. 4, Issue 6, Oct.-Dec., 2013
- PattnaikT,SamalS.Obstetric admissions to the intensive care unit: a five year review.Int J ReprodContraceptObstet Gynecol. 2015 Dec;4(6):1914-1917.
How to Cite This Article
Preeti Sharma, Deepti Rana, Ashok Verma, Nikita Gandotra and Sabia Rashid. (2019); ICU ADMISSIONS IN OBSTETRICS: ANALYSIS OF INDICATIONS , INTERVENTIONS AND MORTALITY IN A TERTIARY CARE CENTRE., Int. J. of Adv. Res., 7 (01), 1306-1309, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/8454
Corresponding Author
This work is licensed under a Creative Commons Attribution 4.0 International License.





