Study of Obstetric Admissions to the Intensive Care Unit at PNS Shifa
Objectives: To investigate the indications, interventions and clinical outcomes of pregnant and newly delivered women admitted to the multidisciplinary intensive care unit. Study Design: Retrospective review / observational study. Setting and Duration: Critical care unit of Pakistan Navy Ship...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Rawalpindi Medical University
2020-03-01
|
| Series: | Journal of Rawalpindi Medical College |
| Subjects: | |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/1179 |
| _version_ | 1811281464978833408 |
|---|---|
| author | Nusrat Noor Rabiah Anwar Khan Muhammad Yaqub Mobashir Ahmad Saeed Sidra Javed |
| author_facet | Nusrat Noor Rabiah Anwar Khan Muhammad Yaqub Mobashir Ahmad Saeed Sidra Javed |
| author_sort | Nusrat Noor |
| collection | DOAJ |
| description | Objectives: To investigate the indications, interventions and clinical outcomes of pregnant and newly delivered women admitted to the multidisciplinary intensive care unit.
Study Design: Retrospective review / observational study.
Setting and Duration: Critical care unit of Pakistan Navy Ship Shifa hospital Karachi from 1st August 2017 to 31st July 2018.
Materials and Methods: This study was carried out in 13 bedded Intensive care units of PNS Shifa hospital Karachi, over a period of one year. All obstetrics admissions to ICU up to 42 days postpartum were included in the study, while those patients admitted after 42 days of delivery were excluded.
Results: During the study period, 2688 women delivered and 66 obstetric patients were admitted to ICU, which was 7.5% of all ICU admission and it accounted for 2.4% of all deliveries. The most common indication for admission to ICU was hypertension disorders of pregnancy 45.4% followed by obstetric haemorrhage in 42.4% cases. 75% of the cases belonged to the age group of 21-35 years. The parity of 60% of patients was in the range of P2-P4. During the stay in ICU, 9% of patients were put on ventilator support, 40.9% had blood product transfusion, while 45% received antihypertensive and anticonvulsant therapy. Maternal mortality was 4.5%.
Conclusion: Hypertensive disorder of pregnancy and obstetric hemorrhage were the main indications for admission to ICU. A multidisciplinary team approach and timely recognition of complications development can lead to a better maternal outcome. Universal availability of antenatal care can help in reducing serious complications and admissions to ICU. |
| first_indexed | 2024-04-13T01:34:11Z |
| format | Article |
| id | doaj.art-41bb72f3b4ac42d89c7554f02584cedc |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-04-13T01:34:11Z |
| publishDate | 2020-03-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-41bb72f3b4ac42d89c7554f02584cedc2022-12-22T03:08:26ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702020-03-01241Study of Obstetric Admissions to the Intensive Care Unit at PNS ShifaNusrat Noor0Rabiah AnwarKhan Muhammad Yaqub1Mobashir Ahmad SaeedSidra JavedDoctorDoctorObjectives: To investigate the indications, interventions and clinical outcomes of pregnant and newly delivered women admitted to the multidisciplinary intensive care unit. Study Design: Retrospective review / observational study. Setting and Duration: Critical care unit of Pakistan Navy Ship Shifa hospital Karachi from 1st August 2017 to 31st July 2018. Materials and Methods: This study was carried out in 13 bedded Intensive care units of PNS Shifa hospital Karachi, over a period of one year. All obstetrics admissions to ICU up to 42 days postpartum were included in the study, while those patients admitted after 42 days of delivery were excluded. Results: During the study period, 2688 women delivered and 66 obstetric patients were admitted to ICU, which was 7.5% of all ICU admission and it accounted for 2.4% of all deliveries. The most common indication for admission to ICU was hypertension disorders of pregnancy 45.4% followed by obstetric haemorrhage in 42.4% cases. 75% of the cases belonged to the age group of 21-35 years. The parity of 60% of patients was in the range of P2-P4. During the stay in ICU, 9% of patients were put on ventilator support, 40.9% had blood product transfusion, while 45% received antihypertensive and anticonvulsant therapy. Maternal mortality was 4.5%. Conclusion: Hypertensive disorder of pregnancy and obstetric hemorrhage were the main indications for admission to ICU. A multidisciplinary team approach and timely recognition of complications development can lead to a better maternal outcome. Universal availability of antenatal care can help in reducing serious complications and admissions to ICU.https://www.journalrmc.com/index.php/JRMC/article/view/1179Intensive care unit, maternal mortality, obstetric haemorrhage |
| spellingShingle | Nusrat Noor Rabiah Anwar Khan Muhammad Yaqub Mobashir Ahmad Saeed Sidra Javed Study of Obstetric Admissions to the Intensive Care Unit at PNS Shifa Journal of Rawalpindi Medical College Intensive care unit, maternal mortality, obstetric haemorrhage |
| title | Study of Obstetric Admissions to the Intensive Care Unit at PNS Shifa |
| title_full | Study of Obstetric Admissions to the Intensive Care Unit at PNS Shifa |
| title_fullStr | Study of Obstetric Admissions to the Intensive Care Unit at PNS Shifa |
| title_full_unstemmed | Study of Obstetric Admissions to the Intensive Care Unit at PNS Shifa |
| title_short | Study of Obstetric Admissions to the Intensive Care Unit at PNS Shifa |
| title_sort | study of obstetric admissions to the intensive care unit at pns shifa |
| topic | Intensive care unit, maternal mortality, obstetric haemorrhage |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/1179 |
| work_keys_str_mv | AT nusratnoor studyofobstetricadmissionstotheintensivecareunitatpnsshifa AT rabiahanwar studyofobstetricadmissionstotheintensivecareunitatpnsshifa AT khanmuhammadyaqub studyofobstetricadmissionstotheintensivecareunitatpnsshifa AT mobashirahmadsaeed studyofobstetricadmissionstotheintensivecareunitatpnsshifa AT sidrajaved studyofobstetricadmissionstotheintensivecareunitatpnsshifa |