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Indian Journal of Obstetrics and Gynecology Research


Profile of obstetric patients requiring ICU care


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Author Details: Gunjal Goyal, Surbhi Agrawal, Smriti Gupta, Esha Khanuja, Om Prakash Gupta

Volume : 3

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 216

Article End Page : 219


Abstract

Aims and Objectives of study: The aim was to study incidence, indications and immediate outcome of obstetric patients admitted in ICU, to assess morbidity and mortality of these patients and to assess risk factors leading to ICU admissions.
Methods: In this cross sectional study, from January 2009 to July 2010, 102 obstetric patients were analysed for critical illness for ICUs (medical and surgical) admissions the Descriptive analysis study was done considering Total Obstetric Admissions(Antenatal, intra and Postnatal including Abortions) in ICU, residence, Indications of ICU Admission, Mean SOFA scores on various days of ICU stay, requirement of blood components and maternal mortality during ICU stay were studied. Cross tables and frequency tables with percentage, correlation and regression and statistical analysis were performed using statistical package for social sciences (SPSS 16.0).
Results: This is a study of 102 obstetric ICU cases out of 2386 antenatal, intranatal and postnatal admissions including abortions from January 2009 to July 2010.the incidence of obstetric ICU admissions was 4.2%. Mean SOFA score on day 1 of survived patients was 9.2% and expired patients was 13.1, on day 3 mean SOFA Score of survived patients was 6.2 and expired patients was 7.7 and on day 5 mean SOFA Score of survived patients was 3.2 and expired patients was 5.3.
Conclusion: The severe maternal morbidity: mortality ratio is a possible new indicator of maternal care and more accurate then mortality data alone. Currently, our top priority are mainly two from this study. Early detection and treatment of anemia and control & treatment of hypertension will reduce large number of maternal and fetal deaths. At present, we must concentrate on anemia, hypertension and medical disorders in pregnancy (CCF, Jaundice, R S dysfunction including H1N1, AIDS etc.)