Study of Critical Illness in Pregnancy
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 7
Abstract
Background: Critical care is bonafide part of obstetric practice. A critically ill obstetric patient is one, who, because of normal or abnormal pregnancy, delivery, and puerperium or because of effects of systemic disease develops complications threatening her life for which she needs intensive monitoring, therapy or life support system. In view of this, the present study makes an attempt to study these disorders threatening the lives of both mother and the child, recognizing the various risk factors associated in a given scenario so as to have a high index of suspicion and their outcome in a given setup. Once established, early prevention of these risk factors and effective treatment of these complications can have dramatic impact on the maternal mortality. Methods: The present study entitled “study of critical illness in pregnancy” was carried out in the Medical Intensive Care Unit (MICU) of Dr. D.Y. Patil Hospital and Research Center, Nerul, Navi Mumbai, Maharashtra, India, with participants being all pregnant and postpartum females (up to 42 days after delivery) transferred to intensive care unit for period of 2 years (2013-2014). Results: Majority of patients requiring MICU admissions were in age group between 21 and 25 years. The mortality rate was significantly higher in age group of ≤20 years and majority of pregnant females were Primigravida. Conclusion: Maternal age <20 years is associated with significantly high mortality in critically ill obstetric population (40%). Thus younger age and not the ideal reproductive age is a high risk group. In third world countries (medical/infective) indirect obstetric (52.4%) cause are more rampant for mortality. The most common medical complications requiring critical care were infective causes such as malaria, viral hepatitis, and sepsis. Pregnancy induced hypertension was most common indication for MICU care followed by malaria though mortality was highest by malaria and respiratory failure was most common organ system failure (51.3%) seen in our study.
Authors and Affiliations
Nikita Malhotra, Varun Shetty, Santwana Chandrakar, Prashant Kashyap
Keywords
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