Critical Analysis of Obstetrics Patients Admitted In HDU and ICU in A Tertiary Care Hospital-A Retrospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Introduction: Admission of obstetric patients occur approximately at 0.1-0.9% of the deliveries. Overall maternal death rate in the ICU varies from 3.4-21%.Inadequate knowledge about the illness and infrequent admission of the obstetric patients results in high mortality and morbidity. WHO states that, “there is a story behind every maternal death or life-threatening complication”. So a better knowledge of the spectrum, characteristics, and outcomes of the disease involving this group of patients is the first step towards achieving prevention and hence, reduction of both maternal morbidity and mortality. Materials and Methods: Critical care is an umbrella term which includes the care given to critically ill patient requiring high dependency care or intensive care. Competent staff and setup for management of obstetric emergencies and critically ill patients. Retrospective analysis of a total of 173 patients admitted in HDU and ICU in Sri Ramachandra Medical College from 1st June 2017 to 30th November 2017 falling into levels I,II and III according to critical care guidelines formulated by Royal college of Obstetrics and Gynecology, Ireland. Results: Of the 4418obstetric patients admitted in SRIHER, 173(3.9%) patients required admission in HDU and ICU. Of which only 23/173(13.2%) required ICU care. Indications requiring LEVEL III critical care included hypertensive disorders (35%)followed by hemorrhage (20%). Sepsis and cardiac disorders contributed a small number. 82% of patients admitted in HDU required level I of critical care followed by Level II. A total of 5 patients required massive blood transfusion. Conclusion: There was a direct correlation between the duration of surgery and amount of blood loss. However, no statistically significant correlation was observed between the duration of stay in HDU and duration of surgery or amount of blood loss. A well defined guidelines needs to be formulated for management of critically ill obstetric patients.
Authors and Affiliations
Dr. N. Charumithrra, Dr. Jaya Vijayaraghavan, Dr. Bhuvana . S
Keywords
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