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. 2013 Jan;17(1):34-7.
doi: 10.4103/0972-5229.112156.

Evaluation of obstetric admissions to intensive care unit of a tertiary referral center in coastal India

Poornima B Ramachandra Bhat  1 , Mahesha H Navada, Sujaya V Rao, G Nagarathna
Affiliations

Evaluation of obstetric admissions to intensive care unit of a tertiary referral center in coastal India

Poornima B Ramachandra Bhat et al. Indian J Crit Care Med. 2013 Jan.

Abstract

Background and aim: To evaluate the occurrence, indications, course, interventions, and outcome of obstetric patients admitted to the intensive care unit (ICU).

Design: Retrospective study.

Setting: ICU of a Medical College Hospital.

Materials and methods: The data collected were age, parity, obstetric status, primary diagnosis, interventions, and outcome of obstetric patients admitted to the ICU from Jan 2005 to June 2011.

Results: Total deliveries were 16,804 in 6.5 years. Obstetric admissions to the ICU were (n = 65) which constitutes 0.39% of deliveries. Majority of the admissions were in the postpartum period (n = 46, 70.8%). The two common indications for admission were obstetric hemorrhage (n = 18, 27.7%) and pregnancy related hypertension with its complications (n = 17, 26.2%). The most common intervention was artificial ventilation (n = 41, 63%). The mortality among obstetric admissions in the ICU was (33.8% (22/65)). The patients appropriate for High Dependency Unit (HDU) care was (32.3% (21/65)). The statistical analysis was done by fractional percentage and Chi-square test.

Conclusions: Hemorrhage and pregnancy-related hypertension with its complications are the two common indications for ICU admissions. The need for a HDU should be considered.

Keywords: Hemorrhage; intensive care unit; maternal death; maternal morbidity.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Maternal outcome
See this image and copyright information in PMC

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