Title: Profile of ICU Admissions of Obstetric Patients, Indications for Transfer to a Tertiary Care Centre and Maternal Outcomes: A Single Centre Experience

Authors: Nimish Gaur, Naiyma Choudhary, Mohd Rasheed, Vivek Aggarwal

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i6.129

Abstract

Sometimes complications arise during pregnancy or in the postpartum period warranting intensive care which leads to ICU admission of such patients.  This was a prospective study carried out to determine the profile of maternal admissions to intensive care unit and requirement of referral to a tertiary care hospital along with maternal outcomes. The percentage of ICU admission of obstetric patients was 0.65% of total deliveries. Total mortality was 20.68%. Multi-step interventions are needed to reduce mortality of ICU admitted obstetric patients.

Key words: HELLP syndrome, ICU admissions, Mortality, Tertiary care hospital.

References

    1.      Kilpatrick SJ, Matthay M. Obstetric patients requiring critical care. A five-year review. Chest. 1992;101:1407–12.

2.      Mabie WC, Sibai BM. Treatment in an obstetric intensive care unit.Am J Obstet Gynecol. 1990;162:1–4.

3.      Umo-Etuk J, Lumley J, Holdcroft A. Critically ill parturient women and admission to intensive care: A 5-year review. Int J Obstet Anesth.1996;5:79–84. 

4.      Collop NA, Sahn SA. Critical illness in pregnancy. An analysis of 20 patients admitted to a medical intensive care unit. Chest.1993;103:1548–52.

5.      Gilbert TT, Smulian JC, Martin AA, Ananth CV, Scorza W, Scardella AT, et al. Obstetric admissions to the intensive care unit: Outcomes and severity of illn-ess. Obstet Gynecol. 2003;102:897–903. 

6.      Mahutte NG, Murphy-Kaulbeck L, Le Q, Solomon J, Benjamin A, Boyd ME. Obstetric admissions to the intensive care unit. Obstet Gynecol. 1999;94:263–6. 

7.      Keizer JL, Zwart JJ, Meerman RH, Harinck BI, Feuth HD, van Roosmalen J. Obstetric intensive care admissions: A 12-year review in a tertiary care centre. Eur J Obstet Gynecol Reprod Biol. 2006; 128:152–6. 

8.      Vasquez DN, Estenssoro E, Canales HS, Reina R, Saenz MG, Das Neves AV, et al. Clinical characteristics and outcomes of obstetric patients requiring ICU admission. Chest. 2007;131:718–24.

9.      Gupta S, Naithani U, Doshi V, Bhargava V, Vijay BS. Obstetric critical care: A prospective analysis of clinical character-ristics, predictability, and fetomaternal outcome in a new dedicated obstetric intensive care unit. Indian J Anaesth. 2011; 55:146–53.

10. Platteau P, Engelhardt T, Moodley J, Muckart DJ. Obstetric and gynaecological patients in an intensive care unit: A 1 year review. Trop Doct. 1997;27:202–6.

Corresponding Author

Naiyma Choudhary