Prospective Evaluation of Maternal Morbidity and Mortality in Post-Caesarean Section Patients Admitted To Post Anaesthesia Intensive Care Unit
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Introduction: The pregnant woman is usually young and in good health before she becomes critically ill; hence, her prognosis will be hopefully be better if she receives timely intensive care intervention. The objective was to analyze all, consecutive critically ill obstetric patients admitted to Post Anaesthesia Intensive care unit after caesarean section with respect to the obstetric intensive care utilization rate, their clinical course, treatment, ICU interventions, prediction of maternal mortality by APACHE II score, and maternal outcome. AIMS: To know the indications of transfer of post Lower Segment Caesarian Section (LSCS)patients to post anaesthesia care unit, To know the Post anaesthesia intensive care unit utilization rate, To know the clinical course, treatment and ICU interventions, To predict the mortality by APACHE II score. RESULTS: Admissions were higher in multipara (n=30, 60%) when compared to primipara (n=20, 40%) but mortality was higher in primipara. Duration of stay on ventilator and number of days in ICU is significantly higher among non surviviors than survivors (p value < 0.0001). CONCLUSION: Risk of complications increases with increasing age. Admission rate is more in multipara but mortality rate is more in primipara. Most common indication of transfer to ICU were obstetric causes, PIH being the most common indication for transfer to ICU. Patients who were for longer duration on ventilatory support , ionotropic support, and longer duration of stay in ICU have poorer outcomes. The predicted mortality is more than the observed mortality.
Authors and Affiliations
Dr. Balleda Sandhya, Dr. B. Annapurna Sarma
Keywords
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- EP ID EP395433
- DOI 10.9790/0853-1709090108.
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