Admission pattern and outcome in critical care obstetric patients

A national survey of obstetric early warning systems in the United Kingdom

“…Hypertensive disease and haemorrhage are the leading causes of obstetric admission to critical care in the developed world and early admission of the high-risk obstetric patient to these areas is associated with a fall in mortality. [6][7][8][9] Both of the most recent triennial CEMACH reports have recommended the use of an EWS relevant to obstetric disease and adapted for normal obstetric physiological changes. 10,11 However, no universally validated system currently exists.…”

Profile of Obstetric Morbidity Among Maternal Intensive Care Unit Patients

“…[20][21][22][23][24] Most studies were in agreement that preeclampsia/ eclampsia and obstetric hemorrhage were the commonest diagnoses for admission to the ICUs. 6,7,19,20,22,[25][26][27] In our study, WKRXJK VHSVLV ZDV OHVV FRPPRQ LW DFFRXQWHG for 10% of ICU admission in some studies 10,12 while 17% and 26.7 % in others. 9,13 ,Q WKH SUHVHQW VWXG\ VHYHQ FDVHV RI 33+ ZDV managed with B-Lynch compression sutures while HLJKW FDVHV UHTXLUHG K\VWHUHFWRP\ ¿YH IRU UXSWXUHG uterus and three for intractable PPH.…”

“…8 The timely and appropriate PDQDJHPHQW ZLWK WKHVH WKHUDSLHV ZRXOG GH¿QLWHO\ save a mother's life. The mean stay at MICU was 2.8 GD\V UDQJH GD\V ZKLFK LV FRPSDUDEOH ZLWK the previous study in which the period of stay in ICU varied from 1-20 days 12 6,7,9,13,17,31,32 In the present study, maternal mortality occurred in IRXU RI WKH FDVHV 2QH ZDV D FDVH RI VHYHUH preeclampsia who died on 4 th POD due to pulmonary embolism, another due to anesthetic complication and the other two died of septic shock and multiorgan failure. Similarly, in one study, multiorgan failure has been reported to be the most common cause of maternal death in the obstetric patients.…”

“…This is similar to studies conducted in Hyderabad and Pakistan. 12 7,9,14 However, this is in contrast with the previous study conducted in Hyderabad, where antepartum cases were 78% and postpartum 22%. 12 In the present study, most of the patients were 37-40 weeks of gestation which is similar to other studies.…”

“…There is growing evidence that admission of high risk obstetric patients to the ICU is associated with a fall in maternal mortality. 7 The objective of the present study was to determine the outcome of the obstetric admissions to Maternal ,QWHQVLYH &DUH 8QLW 0,&8 LQ WKH VHWWLQJ RI D WHUWLDU\ care hospital. $PRQJ FDVHV RI UXSWXUHG XWHUXV ZHUH UHSDLUHG ZKLOH ¿YH UHTXLUHG K\VWHUHFWRP\ among which four cases were grand multipara, XQERRNHG DQG ZDV EURXJKW WR (5 LQ VHFRQG VWDJH of labour with hemorrhagic shock, two of them had intrauterine fetal death.…”