Title: Retrospective analysis of severe acute maternal morbidity of obstetric ICU in Kamla Raja Hospital, Gwalior
Authors: Dr Km. Deepika, Dr Y. Gaur
DOI: https://dx.doi.org/10.18535/jmscr/v7i6.114
Abstract
Introduction: Critically ill obstetrics patients represent an interesting group with unique characteristics whose management is challenged by the presence of a fetus an altered maternal physiology and disease specific to pregnancy. Although pregnancy and labour are considered physiological processes, the potential for catastrophic complications is constant and may develop within minutes.
To every maternal death, there are about 18 maternal morbidities and maternal mortality and morbidity are a measure of health care quality indices in any given community.
Objectives: 1. To find out the incidence of SAMM. 2. To study outcome of obstetric ICU admitted patients.
Methods: Hospital files of all obstetric patients admitted to the Kamla Raja Hospital ICU from 2017 to 2018 were retrospectively reviewed. Age, parity, admission, diagnosis, length of stay, information on the referring hospitals and maternal outcome were analysed.
Result: Total 1713 obstetric patients were admitted in the ICU during the study period. Hypertensive disorder of the pregnancy was the commonest cause for ICU admission. Maximum no. of SAMM cases 113(44.84%) were in 20-30 years. Maximum no. of SAMM cases were multigravida 166(65.87%). Out of total 252 cases 156(61.9%) cases were unbooked. In this study, LSCS as surgical management in 190(75.39%) cases followed by laparotomy 13(5.138%).
Conclusion: Provision of HDU in the Obstetric Department is helpful to reduce burden of ICU admission. All obstetric residents should have a mandatory short ICU training.
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