Maternal and perinatal outcome in obstetrical emergencies at Lal Ded hospital, Srinagar

Abstract

Objectives: To identify obstetric cases as emergencies needing critical care. To assess the varying clinical presentations and contributing factors for cases arriving as obstetric emergencies. To identify the need for hospitalization and admission to intensive care unit. To understand the various interventions requiredcritical care management, and its impact on future outcome of such admissions and to analyze the maternal and perinatal outcome of such obstetric emergencies. Material and Methods: 200 cases of obstetric emergencies admitted and treated at Lal Ded Hospital, Srinagar, during the study period in 2019. It is a clinical study of maternal and perinatal outcome irrespective of gestational period, parity and medical complications. Results: The majority of obstetric emergencies were in the age group between 20-30 years, 50% were multigravida, 15.5% were primi gravida, 10% were grand multi gravida. In this 68% were referred cases 32% were directly admitted. Fetal distress was in 30.5%, fetal demise in 11%, most common obstetric emergency was obstetric hemorrhage in 65.5% cases, 49.5% were delivered by normal vaginal delivery, laparotomy in 6.5%, ICU admission in 32.3%, live births in 68%, perinatal mortality 29%, maternal mortality in 10.5%. Conclusion:The obstetric emergency has a profound effect on mother and fetus resulting in high maternal and perinatal morbidity and mortality. Peripartum hemorrhage, hypertensive emergencies are the leading causes.

Retrospective analysis of obstetrical emergencies at a tertiary care centre in southern Rajasthan and associated maternal and perinatal outcome

“…Our results were in concordance with the results obtained by Teng S et al, who reported that 60 percent of the subjects were of multi-gravid status [11] . In another study conducted by Mustafa Adelaja L et al, mean age of the subjects with obstetrical emergencies was 30 years [12] .…”

“…Sepsis leads to 9.5% of maternal death. Indirect cases where severe anemia in 3 cases, pulmonary edema in 5 cases, ARDS in 2 cases and ARF in 1 case [11] . In another study conducted by [13] .…”