Review of contributory factors in maternity admissions to intensive care at a New Zealand tertiary hospital

Sadler, Lynn; Austin, Diana; Masson, Vicki; McArthur, Colin; McLintock, Claire; Rhodes, S.; Farquhar, Cindy

doi:10.1016/j.ajog.2013.07.031

Cited by 32 publications

(42 citation statements)

References 9 publications

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“…For hypertensive disorders, the range is 7-73.6 % from 24 studies , and the mean is 34.85 %. For obstetric hemorrhage, the range is 11-62.5 %, and the mean is 27.90 % from 23 studies [1][2][3][4][5][6][7][8][9][10][11][12][14][15][16][17][18][19][20][21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

“…The percentage of obstetric population requiring admission to the ICU is different in different countries based on the socioeconomic status, criteria for ICU admission, availability of ICU beds, and availability of a high dependency unit. It ranges from 0.08 to 0.76 % of deliveries in developed countries [3][4][5][6][7] and 0.13 to 4.6 % in developing countries [1,[8][9][10][11][12][13][14][15]. The mortality in these patients is high and ranges from 0 to 4.9 % of ICU admissions in developed [4][5][6][7] and 2-43.63 % in developing countries [8-11, 13, 15, 16].…”

Section: Introductionmentioning

confidence: 99%

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Study of Obstetric Admissions to the Intensive Care Unit of a Tertiary Care Hospital

Rathod

Malini

2015

J Obstet Gynecol India

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About the Author AbstractPurpose To analyze obstetric admissions to intensive care unit and to identify the risk factors responsible for intensive care admission. Methods This is a retrospective study of all obstetric cases admitted to the intensive care unit over a period of 3 years. Data were collected from case records. The risk factors responsible for ICU admission were analyzed. Results There were 765 obstetric admissions to ICU accounting for 1.24 % of all deliveries. 56.20 % were in the age group of 20-25 years. 38.43 % were in their first pregnancy. 36.48 % of cases were at 37-40 weeks of gestation. Postpartum admissions were 80.91 %. Major conditions responsible were obstetric hemorrhage in 44.05 %, hypertensive disorders of pregnancy in 28.88 %, severe anemia in 14.37 %, heart disease in 12.15 %, and sepsis in 7.97 % of ICU cases. 40.39 % cases required high dependency care. Maternal mortality was seen in 15.55 % of ICU cases. Commonest cause of mortality was hemorrhagic shock (26.89 %) and multiorgan dysfunction syndrome (26.05 %). Conclusion Commonest risk factors for ICU admissions are obstetric hemorrhage and hypertensive disorders of pregnancy. Other major risk factors are severe anemia, heart disease, sepsis, more than one diagnosis on admission, and the need for cesarean delivery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Study of Obstetric Admissions to the Intensive Care Unit of a Tertiary Care Hospital

Rathod

Malini

2015

J Obstet Gynecol India

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“…This is similar to the 48% found in a similar study in New Zealand. [2] The patient-related AVF category was most common in our study (mainly the initiation of antenatal care after 20 weeks' gestation, that occurred in 11 women). In the New Zealand study, the most common AVF was the failure of healthcare workers to recognise the seriousness or complexity of patients' illnesses.…”

Section: Discussionmentioning

confidence: 99%

“…[1] It has also been reported that 48% of maternity admissions to a tertiary hospital ICU in New Zealand were potentially avoidable. [2] In the New Zealand study, failure of health workers to recognise the severity of illnesses was the most common avoidable factor (AVF). The situation in SA has not been investigated fully.…”

Section: Corresponding Author: N C Ngene (Ngenenc@gmailcom)mentioning

confidence: 99%

Avoidable factors associated with pregnant and postpartum patients admitted to two intensive care units in South Africa

et al. 2016

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“…This was determined following a comprehensive chart review (Davis, LayYee, Briant, & Scott, 2003). A more recent, smaller study, undertaken during 2010 -2011 by Auckland District Health Board, found that 48% of severe maternal morbidity was preventable (Sadler et al, 2013). In a review of maternal deaths in New Zealand 35% were identified as potentially avoidable by an expert panel (Farquhar, Sadler, Masson, Bohm, & Haslam, 2011 (Health Quality and Safety Commission, 2013a).…”

Section: When I Returned To Midwifery Practice Several Years Ago I Wmentioning

confidence: 99%

Nga Haerenga - The Journeys

Martis¹

2014

nzcomjnl

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The Journal focuses on midwifery issues and women's health, it has a readership of midwives and others involved in pregnancy and childbearing, both in New Zealand and overseas.The Journal is printed once each year (December) and uses electronic article based publishing so that papers are published and disseminated as soon as possible. The advantages of article based publishing are:• Articles are processed more quickly • Articles can be disseminated electronically making them readily available• Improved ability to cite immediately without the need to wait until an issue is complete and then printed.• Improved global availability as each paper is provided with a DOI and put onto the NZCOM Journal website 3 months after first circulation Within electronic article based publishing the editors build each issue as an "issue in progress" from papers that have been submitted and accepted for publication. Once an issue is complete it is printed.The Journal welcomes original research, literature reviews; exemplars/practice stories/case studies, audits, student, and research methodology articles. In general, articles should be between 500-4000 words. It is important that articles submitted for review, have not been published previously in any form.The expectation regarding publication of any of these items is that they protect confidentiality where necessary, and that evidence of an ethical process of consent has been undertaken; similarly, confirmation that copyright permission has been obtained for any quoted materials (see section on copyright). All articles are subject to double blind peer review and the editors reserve the right to make a final decision regarding publication of each article. ARTICLE FORMATArticles should be submitted electronically with double line spacing and a left hand margin of 3 cm and a size 12 font size. The article should be submitted as an electronic file copy in a WORD document or RTF file.Authors should use the following section headings: Abstract, Key words, followed by the introduction and further subheadings-dependent on the type of article -to structure the article and state the word count. Diagrams, tables, and photographs, should be labelled and supplied as computer generated items. Where these are sent separate from the text, the author/s should indicate where they should be positioned in the article.In addition, authors are requested to provide the following details in a separate "Author information" document. This will not be sent to the reviewers.• Name and qualifications• Occupation (current area of practice/expertise)• Email address for correspondence during the review process, and day time phone number. • Declaration of interestsIndicate which contact details (corresponding author email address) can be published if the journal accepts the article. Where the article is co-authored, these details should be provided for all authors. The corresponding author is responsible for ensuring that all named authors have agreed to submit the article for publication. SUBMISSIONArticles shou...

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Review of contributory factors in maternity admissions to intensive care at a New Zealand tertiary hospital

Cited by 32 publications

References 9 publications

Study of Obstetric Admissions to the Intensive Care Unit of a Tertiary Care Hospital

Study of Obstetric Admissions to the Intensive Care Unit of a Tertiary Care Hospital

Avoidable factors associated with pregnant and postpartum patients admitted to two intensive care units in South Africa

Nga Haerenga - The Journeys

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