Risk factors of obstetric admissions to the intensive care unit: An 8-year retrospective study
- PMID: 30882671
- PMCID: PMC6426550
- DOI: 10.1097/MD.0000000000014835
Risk factors of obstetric admissions to the intensive care unit: An 8-year retrospective study
Abstract
The aim of this study was to identify risk factors among obstetric patients admitted to the intensive care unit (ICU).The study was conducted in Third Affiliated Hospital of Guangzhou Medical University during January 1, 2009 and December 31, 2016. A total of 44,817 pregnant women ≥20 weeks of gestational age were scanned. Demographic characteristics, perinatal outcomes, and risk factors among participants were analyzed.A number of factors (21) were more prevalent in the ICU admission group. The greatest for admission to the ICU occurred with amniotic fluid embolism, heart disease, acute fatty liver, and referral for care. The incidence of postpartum hemorrhage, hysterectomy, organ failure, and method of delivery differed significantly between groups (P < .05). Adverse neonatal outcome differed significantly between groups (P < .05).Complications of pregnancy are risk factors for referral to the ICU and may increase risk for unexpected outcomes among mothers and neonates.
Conflict of interest statement
The authors have no conflicts of interest to disclose.
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References
-
- Oliveira Neto AF, Parpinelli MA, Cecatti JG, et al. Factors associated with maternal death in women admitted to an intensive care unit with severe maternal morbidity. Int J Gynaecol Obstet 2009;105:252–6. - PubMed
-
- American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 127: management of preterm labor. Obstet Gynecol 2012;119:1308–17. - PubMed
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