Need of ICU in Obstetrical Complications

Uzma Mumtaz; Naseem Kousar; Atia Siddique; Sadia Choudhary; Hina  Jawaid; Uzma Nazim

doi:10.54393/pbmj.v5i3.350

Authors

Uzma Mumtaz Aziz Bhati Shaheed Teaching Hospital, Gujrat
Naseem Kousar Aziz Bhati Shaheed Teaching Hospital, Gujrat
Atia Siddique Aziz Bhati Shaheed Teaching Hospital, Gujrat
Sadia Choudhary Rahbar Medical and Dental College, Lahore, Pakistan.
Hina Jawaid University of Health Sciences, Lahore, Pakistan
Uzma Nazim Rahbar Medical and Dental College, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v5i3.350

Abstract

To elaborate on the role of the Intensive Care Unit (ICU) in Obstetric patients, their clinical properties, interventions, and the research results. Study Design: A Case-control study is performed to get the medical history of obstetric patients admitted to Hospital from 2018 to 2021. Location of Study: Aziz Bhatti Shaheed hospital, Gujrat, Pakistan. Results: From the patients admitted to Hospital, 87% out of 195 were kept on Ventilator. At the postnatal stage, there were no significant death rates were observed. Most of the admitted patients were 34-year-old, maximally survive for 53 days and minimally for one day only. Out of the total population admitted to hospital, 61% are with organ failure. The significant death rate of those patients is ~26%. Patients with gastrointestinal complications have the highest death rate. Haematological affected patients have a large number ~29%. Conclusion: In case of haemorrhage, hypertensive, sepsis, and infectious disorders, primary screening of patients is required before there is a need for ICU. The outcome of high-risk pregnant women is improved by increasing their alertness and stabilizing their condition before intervention is offered. Maternal morbidity could be reduced by improving the quality of care provided before and after being admitted to the ICU.

References

Lim, Stephen S., et al. "India's Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation." The Lancet 375.9730 (2010): 2009-2023.

https://doi.org/10.1016/S0140-6736(10)60744-1

Lawton, Beverley, et al. "Preventability of severe acute maternal morbidity." American journal of obstetrics and gynaecology 210.6 (2014): 557-e1.

https://doi.org/10.1016/j.ajog.2013.12.032

Pollock, Wendy, Louise Rose, and Cindy-Lee Dennis. "Pregnant and postpartum admissions to the intensive care unit: a systematic review." Intensive care medicine 36.9 (2010): 1465-1474.

https://doi.org/10.1007/s00134-010-1951-0

Mustafa, Rozina, and Haleema Hashmi. "Near-miss obstetrical events and maternal deaths." J Coll Physicians Surg Pak 19.12 (2009): 781-5.

Munnur, Uma, et al. "Critically ill obstetric patients in an American and an Indian public hospital: comparison of case-mix, organ dysfunction, intensive care requirements, and outcomes." Intensive care medicine 31.8 (2005): 1087-1094.

https://doi.org/10.1007/s00134-005-2710-5

Hamid, Saeed S., et al. "Fulminant hepatic failure in pregnant women: acute fatty liver or acute viral hepatitis?" Journal of hepatology 25.1 (1996): 20-27.

https://doi.org/10.1016/S0168-8278(96)80323-0

Sreevidya, S., and B. W. C. Sathiyasekaran. "High caesarean rates in Madras (India): a population-based cross-sectional study." BJOG: an international journal of obstetrics and gynaecology 110.2 (2003): 106-111.

https://doi.org/10.1046/j.1471-0528.2003.02006.x

Baker, Philip N., and Louise Kenny, eds. Obstetrics by ten teachers. CRC Press, 2011.

https://doi.org/10.1201/b13484

Qureshi, R., Irfan Ahmed, S., Raza, A., Khurshid, A., & Chishti, U. (2016). Obstetric patients in intensive care unit: Perspective from a teaching hospital in Pakistan. JRSM open, 7(11), 2054270416663569.

https://doi.org/10.1177/2054270416663569

Mahmood, A., and Mehboob Sultan. "National Institute of Population Studies (NIPS)(Pakistan), and Macro International Inc." Pakistan Demographic and Health Survey 7 (2006): 123-45.

Ghazi, Asifa, et al. "Maternal morbidity in emergency versus elective caesarean section at tertiary care hospital." Journal of Ayub Medical College Abbottabad 24.1 (2012): 10-13.

McClure, Elizabeth M., Robert L. Goldenberg, and Carla M. Bann. "Maternal mortality, stillbirth and measures of obstetric care in developing and developed countries." International Journal of Gynaecology & Obstetrics 96.2 (2007): 139-146.

https://doi.org/10.1016/j.ijgo.2006.10.010

AbouZahr, Carla, and Tessa Wardlaw. "Maternal mortality at the end of a decade: signs of progress?" Bulletin of the world Health Organization 79 (2001): 561-573.

Rukanuddin, Rafat Jan, Tazeen Saeed Ali, and Beth McManis. "Midwifery education and maternal and neonatal health issues: challenges in Pakistan." Journal of midwifery & women's health 52.4 (2007): 398-405.

https://doi.org/10.1016/j.jmwh.2007.02.014

Goodburn, Elizabeth A., et al. "Training traditional birth attendants in clean delivery does not prevent postpartum infection." Health policy and planning 15.4 (2000): 394-399.

https://doi.org/10.1093/heapol/15.4.394

Dünser, Martin W., Inipavudu Baelani, and Lundeg Ganbold. "A review and analysis of intensive care medicine in the least developed countries." Critical care medicine 34.4 (2006): 1234-1242.

https://doi.org/10.1097/01.CCM.0000208360.70835.87

Bibi, S., et al. "Severe acute maternal morbidity and intensive care in a public sector university hospital of Pakistan." J Ayub Med Coll Abbottabad 20.1 (2008): 109-12.

Selo-Ojeme, Daniel O., et al. "Risk factors for obstetric admissions to the intensive care unit in a tertiary hospital: a case-control study." Archives of gynecology and obstetrics 272.3 (2005): 207-210.

https://doi.org/10.1007/s00404-004-0695-x

Bajwa, Sukhwinder Kaur, and Sukhminder Jit Singh Bajwa. "Delivering obstetrical critical care in developing nations." International Journal of Critical Illness and Injury Science 2.1 (2012): 32.

https://doi.org/10.4103/2229-5151.94897

Baker, Tim. "Critical care in low‐income countries." Tropical Medicine & International Health 14.2 (2009): 143-148.

https://doi.org/10.1111/j.1365-3156.2008.02202.x