Pregnancy-related admissions to the intensive care unit

H. M. Mirghani, M. Hamed, M. Ezimokhai, D. S.L. Weerasinghe

Research output: Contribution to journalArticlepeer-review

42 Citations (Scopus)

Abstract

We conducted a retrospective review of obstetric patients admitted to the intensive care unit at Al-Ain hospital during period January 1st 1997 to December 31st 2002, in order to identify the indications for admission and the outcome. A total of 60 patients were admitted during the six years. The frequency of admission was 2.6 per 1000 deliveries and obstetric patients represented 2.4% of all ICU admissions. Admission was planned in 11 patients (18%) and unplanned in 49 (82%). The mean (±SD) duration of stay in ICU was 1.6 ± 1.5 days. The leading indications for admission were haemorrhage (28.4%) and preeclampsia/eclampsia (25%). Of the 60 admissions, 47 (78.4%) followed surgery. The mean APACHE II score was 5.0 ± 3.0. Twenty-two patients (37%) had blood transfusions, and only two (3.3%) required ventilation. Of the 60 patients only 28 (46.7%) were deemed to have severe illness necessitating intensive care; the remaining 32 patients were suitable for high dependency care. The mean APACHE II score and duration of stay were significantly higher in these patients. There were two deaths, representing 3. 3% of obstetric intensive care unit admissions. Our findings highlight the need for establishing a high dependency unit to avoid unnecessary admission to the intensive care unit and to ensure proper management.

Original languageEnglish
Pages (from-to)82-85
Number of pages4
JournalInternational Journal of Obstetric Anesthesia
Volume13
Issue number2
DOIs
Publication statusPublished - Apr 2004
Externally publishedYes

Keywords

  • Intensive care unit
  • Outcome
  • Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Anesthesiology and Pain Medicine

Fingerprint

Dive into the research topics of 'Pregnancy-related admissions to the intensive care unit'. Together they form a unique fingerprint.

Cite this