Obstetric Disorders and Critical Illness

Griffin, Kenneth W.; Oxford-Horrey, Corrina; Bourjeily, Ghada

doi:10.1016/j.ccm.2022.04.008

Cited by 8 publications

(29 citation statements)

References 128 publications

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“…2,3 Maternal healthcare is very challenging in rural area as two important factors may hinder it, viz, the availability of healthcare set up and lack of awareness. 4 In our rural area, the hospital caters various emergency services to all type of patients. Undoubtedly, the obstetric patients admitted in our hospital were of age group between 18 and 25 years age group.…”

Section: Discussionmentioning

confidence: 99%

Pattern and outcome of obstetric patients admitted in the medical critical care unit of tertiary care hospital

Shetti¹,

Patel²,

Mustilwar³

2023

IJPCA

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Various types of diseases are seen in pregnant patients, it may be prior to the pregnancy or during the pregnancy period. Certain diseases may lead to critical care admission and may be either elective or emergency admission. This study was conducted to know the pattern and outcome of obstetric patients getting admitted to the medical critical care unit of our tertiary care hospital. This is a retrospective study, and we collected the data from the records for two years duration, starting from 1st January 2020 to 31st December 2021. A total of 97 patients were admitted and a maximum number of patients were aged between 18-25 years. 56(57.7%) of patients were primigravida, and 58(59.8%) of the patients were registered cases. 82(84.5%) of cases were registered under the medico-legal case as per Indian law. 68(70.1%) patients had lower segment cesarean sections. Among 97 patients, 22(22.7%) of patients had comorbid illnesses. A total of 22(22.7%) patients got admitted for poisoning-related issues, which was the single most common cause among 97 admissions. 25(25.8%) of patients were on mechanical ventilation and the average number of critical care unit stay was 4 days. 65(67%) patients survived, 15(15.5%) patients died, and the remaining patient was either took discharged against the advice or referred.Obstetric patient admission in the rural critical care unit is not uncommon, and poisoning is the most common cause of admission in the medical critical care unit.

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Section: Discussionmentioning

confidence: 99%

Pattern and outcome of obstetric patients admitted in the medical critical care unit of tertiary care hospital

Shetti¹,

Patel²,

Mustilwar³

2023

IJPCA

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“…Intrapartum hypertension can be managed with methyldopa, labetalol, nifedipine, hydralazine, or nicardipine depending on physicians' familiarity with medications and side effect profiles 6,8. Refer to Table 2 for a list of medications, mechanisms of action, and medication side effects.…”

Section: Intrapartum Maternal Managementmentioning

confidence: 99%

“… a From American College of Obstetricians and Gynecologists,6 Griffin et al,8 Spiro and Scemons,10 and Committee on Practice Bulletins-Obstetrics 12 …”

Section: Intrapartum Maternal Managementmentioning

confidence: 99%

“…6,7 Intrapartum hypertension can be managed with methyldopa, labetalol, nifedipine, hydralazine, or nicardipine depending on physicians' familiarity with medications and side effect profiles. 6,8 Refer to Table 2 for a list of medications, mechanisms of action, and medication side effects. The American Heart Association also recommends the addition of daily low-dose aspirin (81 mg) prior to 20 weeks' gestation to prevent the progression to preterm preeclampsia.…”

Section: Intrapartum Maternal Management Hypertension Managementmentioning

confidence: 99%

“…Diagnosis: Preeclampsia is diagnosed as an SBP 140 mm Hg or more and/or a DBP 90 mm Hg or more after 20 weeks' gestation, without a history of chronic hypertension, plus proteinuria. 10,11 Proteinuria is classified as 2+ protein on urine dipstick, creatinine 0.3 mg/dL or more or 300-mg or more protein/ a From American College of Obstetricians and Gynecologists, 6 Griffin et al, 8 Spiro and Scemons, 10 and Committee on Practice Bulletins-Obstetrics. 12 24-hour urine collection.…”

Section: Intrapartum Maternal Management Hypertension Managementmentioning

confidence: 99%

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Fetal and Maternal Monitoring

Ledgerwood,

Angelides,

Idler

et al. 2023

Critical Care Nursing Quarterly

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Fetal monitoring in the intrapartum and peripartum periods is important for the well-being of both baby and mother. Electronic fetal monitoring was first designed over 50 years ago in an attempt to improve perinatal outcomes. Its purpose is to assess fetal oxygenation and acid-base status during the antepartum course when indicated and during labor. Maternal assessment begins early in gestation with blood pressure monitoring and urine protein excretion to diagnose potential complications, such as severe hypertension and preeclampsia/eclampsia.

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