STUDY OF OBSTETRIC ADMISSIONS TO THE INTENSIVE CARE UNIT OF A TERTIARY CARE HOSPITAL
DOI:
https://doi.org/10.32553/ijmbs.v4i10.1473Keywords:
obstetric admissions, intensive care unit, tertiary care hospitalAbstract
Aim: To determine the causes of the obstetric admission to the intensive care unit and to identify the risk factors responsible for intensive care admission
Methods and materials: Obstetrics ICU admissions over the past 3 months from September 2019 to November 2019 at government medical college, Bhavnagar
Results: During the study period about 150 patients are admitted to the intensive care unit.53.3% of the cases are in 20-25 year ,followed by30.6% of the patients are in age of 26-30 year ,46.6% of women were in their first pregnancy followed by 31.3%of women who were in their second pregnancy . Majority of the patients are in 37-40 weeks of gestational age followed by 35-36 weeks of gestation .Majority of patient admitted in ICU were postpartum admission(as those requiring delivery were first managed and then shifted to ICU) accounting for 86.6% of cases and 4% are below 20 weeks. The rest of the cases are ectopic, abortion and molar pregnancy which accounts for 4.6%, 2%, 2.6%. The different condition diagnosed on admission to hospital ranged from common condition like preeclampsia to rare disorder like meningitis. About 46.6% patients went in to surgical procedure and most common surgical procedure is caesarean section which accounts for 24% followed by laprotomy which accounts for 6% .
Conclusion: Commonest risk factors for ICU admission are obstetrics haemorrhage and hypertensive disorder of pregnancy Other major risk factors are severe anaemia, heart disease, sepsis, rupture uterus etc .
Keywords: obstetric admissions, intensive care unit, tertiary care hospital
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