Obstetric Intensive Care Unit (ICU) Admission Evaluation: Experiences in a Tertiary Care Hospital
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 5
Abstract
Aims: To review pregnant patients up to 6 weeks postpartum who needs ICU admission. Methods: This cross sectional study was conducted in the Dept of OB-GYN of Chittagong Medical College Hospital, Bangladesh from 1st Jan’2014 to 30th June’2016. Pregnant patients up to 6 weeks postpartum admitted in dept of OB-GYN & subsequently shifted to ICU were included. Results: In our study period, out of total 47,941 obstetric patients, 124 transferred to ICU. The mean age 27.41 years [Range: 17 – 47 years]. Rural resident 69.35% (n=86). 54.84% (n=68) of middle class. Multi gravida / para 70.16 %( n=87). Antenatal 69.35%(n=86). 48.39% (n=60) received irregular antenatal care. Hypertensive disorder of pregnancy - most frequent obstetric indication for ICU admission which was 41.13%(n=51) [eclampsia: 26.61%(n=33); PE:13.71% (n=17); HEELP:0.81%(n=1)]. Obstetric hemorrhage stood second position which was 31.45% (n=39) [Rupture uterus 12.10% (n=15); APH due to placental cause 8.87% (n=11); PPH 6.45%(n=8); ectopic pregnancy 3.23% (n=4); molar pregnancy 0.81%(n=1)]. Obstructed labour & sepsis in 3rd & 4th position which included 9.68% (n=12) & 6.45% (n=8). Others 11.29% (n=14). However, 50% (n=62) transferred for both respiratory failure & hemodynamic instability, 41.94 % (n=52) for respiratory failure, 7.26% (n=9) for hemodynamic instability. Among 124 patients 41.94% (n=52) fully recovered. Majority 33.87%(n=42) stayed in ICU for 1 day [range:1-45 days]. Conclusion: Appropriate primary health care, efficient referral system & multidisciplinary approach including ICU is essential for management of these critical patients & to reduce maternal mortality & morbidity.
Authors and Affiliations
Tanjila Karim, Fahmida Shirin, Jannatul Ferdous
Keywords
Related Articles
- EP ID EP537017
- DOI 10.21276/ijmrp.2018.4.5.043
- Views 82
- Downloads 0
Acute Appendicitis - A Surgical Emergency: Study on the Histopathology And Scoring Systems on Diagnosis
Acute appendicitis being a surgical emergency requires proper decision on the behalf of clinicians so as to prevent the complications. Though this is typical, sometimes the explanation of patient is quite challenging, di...
A Study of Etiopathogenesis of Middle Ear Granulations in COM and Their Management
Objective: The purpose of this study was to evaluate the etiopathogenesis of middle ear granulations in cases of COM and their management. Materials and Methods: A prospective study was conducted on 100 patients over a p...
Effect of Isotretinoin on Mood Status and Psychological Changes Among Female Saudi Patients Between Twenty and Twenty Five Years Old, Diagnosed with Acne Vulgaris in Makkah, 2013
Introduction: Isotretinoin (trade names Roaccutane and Oratane) is a vitamin A derivative. It has been approved for the treatment for nodular and cystic acne and there is an association between the drug and mood and psyc...
A Prospective Study to Correlate Diabetic Maculopathy with Different Stages of Diabetic Retinopathy
Object: To correlate of diabetic maculopathy whit h the stage of diabetic retinopathy. Materials & Methods: This study conducted in Department of Ophthalmology, Teerthankar Mahaveer Medical College, Moradabad, India. All...
General Anxiety Disorders among Celiac Disease Patients in Aseer Region of Saudi Arabia
To evaluate the association between celiac disease and specific anxiety and depressive disorders and to identify potential common Pathogenetic links and know to what extend celiac can effect on the life of people who suf...