Changes of Severe Maternal Clinical Features

Abstract

Purpose To observe and compare the dynamic data changes of the severe maternal in ICU, so as to provide experience for increasingly complicated maternity cure. Materials and Methods Observational study was adopted. The characteristics of severe maternal in ICU during the periods from January 1, 2009 to December 31, 2016 (stage 1) and from January 1, 2017 to June 30, 2022 (stage 2) was collected for review. Results Compared with stage 1, the ratios of comorbidities (67.1%), irregular antenatal care (44.7%), vaginal (10.6%), and hysterectomy (17.7%) among the severe maternal in stage 2 were increased; Among the main reason for the patient admitted to the ICU, the ratio of nonobstetric factors rose (40.2%), including pancreatitis (14.1%) and pulmonary arterial hypertension (4.0%), the ratios of which increased; In obstetric factors, the ratio of postpartum hemorrhage (47.6%) rose, including placenta previa (32.9%) ; the ratio of pregnancy-induced hypertension (39.5%) dropped, while that of HEELP syndrome (58.6%) rose; The ratios of patients combined scarred uterus (52.1%). Conclusion Clinical features of the severe maternal are more complex, diverse and serious. It is required to strengthen the management of the multidisciplinary team dominated by the ICU to improve the level of severe maternal cure.