Obstetric admissions to the intensive care unit: a 12-year review |
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Authors: | Suleiman A Al-Suleiman Hatem O Qutub Jessica Rahman M Sayedur Rahman |
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Institution: | (1) Department of Obstetrics and Gynaecology, College of Medicine, King Faisal University, Dammam, Saudi Arabia;(2) Medical Intensive Care Unit, College of Medicine, King Faisal University, Dammam, Saudi Arabia;(3) King Fahad Hospital, Al-Khobar 31952, P.O. Box 40243, Dammam, Saudi Arabia |
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Abstract: | Objective The objective was to ascertain the prevalence, causes and outcome of critically ill obstetric patients admitted to the intensive
care unit (ICU).
Design The design was a retrospective collection of data.
Settings The setting was a multidisciplinary ICU in a University hospital.
Patients All obstetric patients admitted to the ICU over a 12-year period from May 1992 to April 2004 were reviewed.
Results The incidence of obstetric admissions to the ICU represented 0.22% of all deliveries during the study period. The majority
(84.4%) of patients were admitted to the ICU postpartum. Obstetric haemorrhage (32.8%) and pregnancy-induced hypertension
(17.2%) were the two main obstetrical reasons for admission. The remainder included medical disorders (37.5%) and other causes
(6.2%). Associated major complications included adult respiratory distress syndrome (ARDS) and HELLP (haemolysis, elevated
liver enzymes and low platelets) syndrome. The perinatal mortality rate was 20% and the maternal mortality rate 9.4%.
Conclusions A team approach consisting treatment by obstetricians, intensive care specialists and anaesthesiologists provided optimal
care for the patients. Improved management strategies for obstetric haemorrhage and hypertension may significantly reduce
maternal morbidity. |
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Keywords: | Intensive care Pregnancy complications Critically ill patients Medical complications Maternal death |
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