Intensive care in obstetrics: An evidence-based review

Experience in Diagnostics and Surgical Treatment of Pulmonary Embolism in Pregnant Women

“…A special attention should be paid to the tactics of anesthesiology and perfusion support of emergency operations performed for the treatment of acute massive PE in pregnant women. The study [10] showed that maternal mortality in pregnant women during operations in conditions of artificial circulation (AC) did not exceed the one in non-pregnant women (1.47%) who were operated on during planned surgery. In case of emergent surgery on patients in critical condition with overload of the right heart and unstable hemodynamics, the frequency of maternal mortality increases considerably.…”

Uterine Atony: Management Strategies

“…In massive obstetric haemorrhage, invasive monitoring may be crucial to allow continuous assessment of the haemodynamic status until clinical improvement occurs. However, not all sophisticated monitoring equipment may be available in every hospital, in which case management decisions may need to be based on clinical assessment (Martin & Foley, 2006;Moore & Chandraharan, 2010;Pearse & Rhodes, 2004).…”

“…This enables immediate detection and early management of complications, hence, may prevent or lower morbidity and mortality. (Guise & Segel, 2008;Martin & Foley 2006;Plaat & Wray, 2008) Nursing the critically ill is a complex job. Their main role is to provide continuous close monitoring of the patient.…”

Cardiac Surgery during Pregnancy—Our Experience

“…Thus, surgical treatment of heart diseases during pregnancy and puerperium is performed only in selected cases. [2].…”

“…It occurs in 1% -3% of pregnancies and accounting for 10% -15% of maternal mortality [1]. Common Obstetric ICU admission in nonobstetric cases includes cardiac disease during pregnancy [2].…”