| Autor: |
Al-Suleiman, Suleiman A., Qutub, Hatem O., Rahman, Jessica, Sayedur Rahman, M. |
| Předmět: |
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| Zdroj: |
Archives of Gynecology & Obstetrics; Apr2006, Vol. 274 Issue 1, p4-8, 5p, 3 Charts |
| Abstrakt: |
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. Methods: Data collected included demographic characteristics of the patients, pre-existing medical conditions, obstetric complications, invasive procedures required in the ICU and outcome of the patients. 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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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