Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Obstetric critical care and interventions in intensive care unit (ICU) can improve the maternal outcome. ICU admission is on rise in pregnant women due to factors including increasing maternal age, increasing caesarean rates, levels of obesity and other comorbidities. We retrospectively studied the peripartum admissions (pregnant or within 6‐weeks postpartum) in obstetric ICU in SMGS hospital, GMC Jammu over a period of one year (from Jan, 2023 to Dec, 2023) in terms of demography, diagnosis and comorbidities at time of admission, length of stay, ICU care and interventions given, outcome and ICU admission rate. Their mean age was 30.12±5.0 years. Out of 23804 obstetric admissions during the study period, a total of 305 patients were admitted to ICU with 1.28% as the rate of ICU admission. 42.47% had an obstetric cause of admission, whereas 14.1% had a non‐obstetric cause of admission in the ICU. Among obstetric causes, obstetric hemorrhage was seen in 42.47% cases followed by hypertensive disorders of pregnancy in 29.77% cases and sepsis in 17.93% cases. Among non‐obstetric causes, anemia was prevalent in 7.2% followed by epilepsy in 3.9%, cardiac disorders in 1.3% and others (like chronic or acute renal failure, Diabetes) in 1.3% cases. Average stay in the ICU was 6.9±3.99 days. As intervention, 84.59% patients required blood or blood product transfusion followed by 35.08% requiring mechanical ventilation and 20% requiring ianotropic support. Out of 20 patients died, 7 (35%) died of complications of obstetrics hemorrhage while 8 (40%) died of complications of hypertensive disorder sequele. The data revealed that ICU admissions is common in old age (>30 years), multigravidae with caesareans as a more common mode of delivery. The leading cause of admission was obstetrics hemorrhage followed by hypertensive disorders of pregnancy as the major cause of admission. The majority of patients required blood or blood products transfusions, mechanical ventilation, vasopressors Notably, the majority died of complications of obstetrics hemorrhage while followed by complications of hypertensive disorder sequele.
How to cite this article:
Abhilasha Thakyal, Aditi Saini, Nidhi Thakur and Anumodan Gupta. Clinical Profile of Obstetric Admission in a Tertiary Care Intensive Care Centre in Northern India.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.57.60
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.57.60