Critically ill obstetric admissions into a tertiary hospital’s intensive care unit.
No Thumbnail Available
Date
2015
Journal Title
Journal ISSN
Volume Title
Publisher
Medical Research Society and College of Medicine and Health Sciences, Abia State University
Abstract
BACKGROUND: Intensive Care Unit (ICU) management is a critical care and may be life saving in critically ill obstetric patients, but mortality remains high in low-resource countries. OBJECTIVE: To review obstetric admissions into a tertiary hospital ICU. DESIGN: Retrospective descriptive study. SETTING: The ICU of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. SUBJECTS: Women admitted to the ICU during pregnancy or within 42 days of the end of the pregnancy. MATERIALS AND METHODS: A list of all eligible participants was compiled, the case files were retrieved and relevant data extracted; the results were presented in tables and percentages. RESULTS: Obstetric patients constituted 12.3% of the total ICU admissions and 0.84% of all deliveries with 45.6% mortality; the mean age was 29.2 ± 5.4 years (range 18 – 42 years), mean parity was 2.0 ± 1.5 (range 0-6), 15 (28.8%) had no formal education, 39 (75.0%) were of low social class, 22 (42.3%) had no antenatal care, 41 (78.9%) were admitted for obstetric reason, and post partum haemorrhage was the most common indication for admission (19[36.5%]). In all 44 (84.6%) were admitted post partum, 45 (86.5%) had organ dysfunction at ICU admission, 36 (69.2%) had mechanical ventilation while most common drugs administered were antibiotics. CONCLUSION: Obstetric patients are important intensive care users, but maternal mortality remains high among them in low-resource countries despite the care received.
Description
Keywords
Critically ill,, intensive care unit,, obstetric admissions
Citation
ill obstetric admissions into a tertiary hospital’s intensive care unit. Journal of Medical Investigations and Practice, 10 (1): 16-19.