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Indian Journal of Obstetrics and Gynecology

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Intensive Care Unit Admission of Obstetric Cases: A Retrospective Analysis in a Tertiary Care Center

Chaitra S., No 11, Devi Krupa, 11th A Cross, 2nd Stage, West of Chord Road, Banaglore 560086. , Chaitra S.* , Sneha S.* , Seema Shyam Bhairi** , Renuka Ramaiah***

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Indian Journal of Obstetrics and Gynecology 5(2):p 35-40, April - June 2017. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5217.6

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Abstract

 Background: Intensive care unit admission of a mother is a critical marker of the sever maternal morbidity. In our study we assessed the prevalence of the pregnant and puerperal women’s admission to the ICU, the reason for the need of the multidisciplinary care in a tertiary care center. Material and Methods: A retrospective 4year records were analyzed from the ICU of all the pregnant women, who were admitted to the ICU in the ESIC hospital from2013 to 2016. Results: Over the past 4year period, a total of 13,182 women were delivered in our institute, of whom 92 (4.34%) women needed ICU care. Maternal mortality rate was found to be 0.03% (4 deaths) of the patients who were admitted in the ICU. 36 (39.1%) were in the age group between 20–24 years. 31 (33.6 %) were the primigravidas. The commonest period of gestation was found to be at 37–40 weeks, with 36 cases (39.1%). Post delivery admission was 31 (33.6%). Severe anemia in 45 (48%) being the most common followed by, hypertensive disorders of pregnancy in 36(39.1%) and, PPH topped the list being 31 (33.6%), heart disease in 4 (4.3%), and sepsis in 9(9.7 %). The cause of the maternal mortality was sever preeclampsia and HELLP in one patient, amniotic fluid embolism in another, uterine rupture in a previous 3 cesarean section in an elderly patient and one was of a referred patient in view of intrauterine fetal demise and H1N1. Conclusions: Highermorbidity and mortality was noted in women with hemorrhage, which was found to be much higher than hypertensive disease of pregnancy and sepsis.

Keywords: Intensive Care Unit; Sepsis; Obstetric Hemorrhage; Preeclampsia; Maternal Mortality.

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5217.6

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