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Indian Journal of Obstetrics and Gynecology

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Review of Critically Ill Obstetric Patients Requiring Intensive Care: A Retrospective Study

Nidhi Gupta, Senior Resident, Vardhmann Mahavir Medical College & Safdarjung Hospital, New Delhi, Delhi 110029, India. , Sumitra Bachani* , Vijay Zutshi** , Nidhi Gupta*** , Swati Shivhare****

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Indian Journal of Obstetrics and Gynecology 5(4):p 529-534, Oct-Dec 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5417.14

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Abstract

Objective: The objective of this study was to review the indications for admission, demographics, clinical characteristics, course, interventions and outcome of obstetric patients admitted in intensive care unit of a tertiary care hospital and medical college in India. Methods: It is a retrospective study done on obstetric patients admitted to the ICU in the intensive care unit of VMMC & Safdarjung hospital, New Delhi from Jan 2015 to Dec 2015 over a period of one year. Patients included were critically ill women requiring ventilatory support or major organ supportive therapy admitted during pregnancy as well as in first 6 weeks of the postpartum period. Results: In the study period, Total obstetrics admissions were 33809. 129 obstetric patients were admitted in ICU. Amongst the total ICU admissions 36 (28%) were maternal deaths. Maternal mortality ratio in the present study was 1.4/1000 deliveries. The most common indication was obstetric haemorrhage (31, 24%) followed by pregnancy induced hypertension (30, 23.2%). Mostly women stayed in ICU for 25 days. Conclusion: Early recognition of high risk cases and appropriate referral may improve the clinical outcome.

Keywords: Intensive Care Unit; Maternal Mortality; High Risk Pregnancy. 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5417.14

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