A study of critically ill obstetric patients admitted in Intensive care unit and their outcome at a tertiary care centre

Dr Prachee Makashir; Dr Pratik Sethiya

Volume : VIII, Issue : VI, June - 2018

A study of critically ill obstetric patients admitted in Intensive care unit and their outcome at a tertiary care centre

Dr Prachee Makashir, Dr Pratik Sethiya

Abstract :

Background: Pregnant women require Intensive Care Unit(ICU) admissions due to either obstetric emergencies or underlying pre existing medical conditions aggravated during pregnancy.

We aim to determine spectrum of these patients admitted in ICU with respect to etiology and outcomes.

Materials and Methods: Retrospective analysis of 46 patients admitted in last 18 months from March 2016 to September 2017 were taken and studied with respect to etiology and outcomes. Pregnant women >18years of age were included.

Results: Out of the 46 patients studied, 26 (56%) had obstetric indication for admission to ICU whereas 20 (44%) had medical indication. 7 deaths had occured (15%) during this period. Most common indication for admission amongst obstetric patients were Pre–Eclampsia and its complications whereas amongst medical conditions it was cardiovascular disorders. Mean age of the patients was 24 years.

Conclusion: Obstetric ICU management is a team work of physicians and obstetricians. Intensive monitoring,early intervention is key in reducing the maternal mortality to significant extent.