TY - JOUR AU - Nusrat Noor, Nusrat Noor PY - 2020/03/28 Y2 - 2024/03/29 TI - Study of Obstetric Admissions to the Intensive Care Unit at PNS Shifa JF - Journal of Rawalpindi Medical College JA - JRMC VL - 24 IS - 1 SE - Articles DO - UR - https://www.journalrmc.com/index.php/JRMC/article/view/1179 SP - AB - <p><strong>Objectives: </strong>To investigate the indications, interventions and clinical outcomes of pregnant and newly delivered women admitted to the multidisciplinary intensive care unit.</p><p><strong>Study Design: </strong>Retrospective review / observational study.</p><p><strong>Setting and Duration: </strong>Critical care unit of Pakistan Navy Ship Shifa hospital Karachi from 1st August 2017 to 31st July 2018.</p><p><strong>Materials and Methods: </strong>This study was carried out in 13 bedded Intensive care units of PNS Shifa hospital Karachi, over a period of one year. All obstetrics admissions to ICU up to 42 days postpartum were included in the study, while those patients admitted after 42 days of delivery were excluded.</p><p><strong>Results: </strong>During the study period, 2688 women delivered and 66 obstetric patients were admitted to ICU, which was 7.5% of all ICU admission and it accounted for 2.4% of all deliveries. The most common indication for admission to ICU was hypertension disorders of pregnancy 45.4% followed by obstetric haemorrhage in 42.4% cases. 75% of the cases belonged to the age group of 21-35 years. The parity of 60% of patients was in the range of P2-P4. During the stay in ICU, 9% of patients were put on ventilator support, 40.9% had blood product transfusion, while 45% received antihypertensive and anticonvulsant therapy. Maternal mortality was 4.5%.</p><p><strong>Conclusion: </strong>Hypertensive disorder of pregnancy and obstetric hemorrhage were the main indications for admission to ICU. A multidisciplinary team approach and timely recognition of complications development can lead to a better maternal outcome. Universal availability of antenatal care can help in reducing serious complications and admissions to ICU.</p> ER -