Obstetric admissions to the intensive care unit.

Abstract:

OBJECTIVE:To determine whether obstetric admissions to the intensive care unit (ICU) are useful quality-assurance indicators. METHODS:We analyzed retrospectively obstetric ICU admissions at two tertiary care centers from 1991 to 1997. RESULTS:The 131 obstetric admissions represented 0.3% of all deliveries. The majority (78%) of women were admitted to the ICU postpartum. Obstetric hemorrhage (26%) and hypertension (21%) were the two most common reasons for admission. Together with cardiac disease, respiratory disorders, and infection, they accounted for more than 80% of all admissions. Preexisting medical conditions were present in 38% of all admissions. The median Acute Physiology and Chronic Health Evaluation II score was 8.5. The predicted mortality rate for the group was 10.0%, and the actual mortality rate was 2.3%. CONCLUSION:The most common precipitants of ICU admission were obstetric hemorrhage and uncontrolled hypertension. Improved management strategies for these problems may significantly reduce major maternal morbidity.

journal_name

Obstet Gynecol

authors

Mahutte NG,Murphy-Kaulbeck L,Le Q,Solomon J,Benjamin A,Boyd ME

doi

10.1016/s0029-7844(99)00274-4

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

263-6

issue

2

eissn

0029-7844

issn

1873-233X

pii

S0029-7844(99)00274-4

journal_volume

94

pub_type

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