A blueprint to establish a four-bed obstetric critical care unit in the labor ward of a central hospital.

Autor: Langenegger EJ; Department of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa., Theron GB; Department of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa., Hall DR; Department of Obstetrics and Gynaecology, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa., Bello C; Department of Obstetrics and Gynaecology, Icesi University and Fundacion Valle del Lili, Cali, Colombia., Escobar Vidarte MF; Department of Obstetrics and Gynaecology, Icesi University and Fundacion Valle del Lili, Cali, Colombia.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2019 Jul; Vol. 146 (1), pp. 29-35. Date of Electronic Publication: 2019 May 15.
DOI: 10.1002/ijgo.12828
Abstrakt: Patients at risk of organ dysfunction or with established organ dysfunction should be referred to central or tertiary-level hospitals. However, even in central hospitals, intensive care unit (ICU) beds are often unavailable, which may contribute to maternal deaths. One pragmatic solution is to establish obstetric critical care units (OCCUs) in the labor wards of central hospitals; however, specific guidance on how to do this is limited. In addition, globally applicable standards of care are lacking, with uncertainty regarding who should lead obstetric critical care. In this article the specific OCCU infrastructure, equipment and human resources required to establish such units in central hospitals in low- and middle-income countries are described in sufficient detail for easy replication. Admission and discharge guidelines and operational recommendations that include quality indicators are also provided.
(© 2019 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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