Obstetric Admissions in the Intensive Care Unit: A Study over a 2 Year Period in a Tertiary Care Centre in North India
Journal Title: Scholars International Journal of Obstetrics and Gynecology - Year 2018, Vol 1, Issue 3
Abstract
Obstetrics patients may require intensive care at any time unpredictably. The most common causes of morbidity and mortality in these patients are anaemia, hemorrhage, hypertension, pre eclampsia, eclampsia, septicemia and their complications. The aim of this study was to evaluate the incidence, occurrence, indications, course of ICU stay, interventions required and the outcome of those obstetric patients admitted in the ICU. It was a hospital based, retrospective study conducted in a tertiary care medical college in Haryana, in North India over a period of 2 years – from January 2015 to January 2017. Out of a total deliveries of 7150, 165 patients required ICU admission and care (2.30 %). Most admissions were in the post partum period – 95(57.57 %), followed by antepartum period – 70 (42.43 %). Most common indications for ICU admission were obstetric hemorrhage – 50 (%),eclampsia -17(%), pre eclampsia- 8 (%), septicemic shock – 23 (%), HELLP syndrome – 16 (%), DIC- 10 (%), cerebral malaria-10 (%), dengue-7 (%), hepatic encephalopathy-5(%). The most common interventions warranted were artificial ventilation-139 (84.24 %), transfusion of blood & blood products-140 (84.84 %), surgical exploratory laparotomy – 35 (21.21 %) and there were 15 maternal deaths (9.09 %).
Authors and Affiliations
Dr. Jayati Nath, Dr. Sahil Kalia, Dr. Jashan Thind
Keywords
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