Evaluation of Obstetric admissions to intensive care unit(ICU) of a tertiary care Indian teaching Hospital

Sujata P; Janmejaya Sahoo; Gangadhar Sahoo

Volume : VII, Issue : VIII, August - 2017

Evaluation of Obstetric admissions to intensive care unit(ICU) of a tertiary care Indian teaching Hospital

Sujata P, Janmejaya Sahoo, Gangadhar Sahoo

Abstract :

There are huge variations in the indications of ICU admissions, mortality and morbidity rates as well as the demographic characteristics. The commonest indication intensive care unit admission of obstetric patients is haemorrhage, both antepartum and postpartum. They need intensive management involving a multidisciplinary team involving the cardiologists, haematologists, nephrologists, pulmonologists and gastroenterologists as and when required. Hypertensive disorders of pregnancy and its related complications are also major contributory factors admissions to ICU.

Material and methods

A retrospective study to evaluate obstetric ICU admissions both antenatal and postnatal from January 2009–December 2016 over a period of 8 years.

Results

Ninety women with obstetric complications were admitted to the ICU. The total number of deliveries during the study period was 13732. Obstetric haemorrhage was the most common indication (45.5%) for admission to the ICU followed by hypertensive spectrum of diseases(26.6%) and cardiac disorders accounted for 15.5% of cases. 64% of the patients were referred to our institution from other hospitals for tertiary care. 47% patients admitted to the ICU required mechanical ventilation. (n= 47). There were fourteen maternal deaths during the study period (15.5%).

Conclusion

Obstetric haemorrhage was the most common indication for ICU admission followed by hypertensive spectrum of disorders. Maternal mortality was 15.5% in this study. Obstetric haemorrhage was the most important cause of maternal deaths (45.5%).