Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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110 Maternal Intensive Care in Belgium KCE Reports 94 and the occurrence of exacerbations were obtained on each monthly study visit. The incidence of 1 or more asthma hospitalizations, unscheduled visits, or oral corticosteroid courses, as well as the proportion of patients with any exacerbation or symptoms during labor and delivery were analyzed as a function of asthma severity classification. Proportions were compared between severity groups by means of the Fisher exact test. Lee, B. (2004) 25 UK / This article/rapport was the result of a meeting. It describes and evaluates the creation of maternity HDU in a referral teaching hospital (2000) in the UK. Okafor, U. & Aniebue, U. (2004) 27 Nigeria 18 patients admitted to an obstetric ICU Tertiary centre based retrospective review of hospital records (case notes and intensive care unit records) of parturients admitted to the ICU of the University of Nigeria Teaching Hospital between 1997 and 2002. Demographics, diagnosis, duration of stay, need for ventilatory Meeting report of the Forum on Maternity and the Newborn, Royal Society of Medicine (17 June 2004) Retrospective tertiary centre based analysis of obstetrical ICU admissions (health care survey) accordingly. CONCLUSION:: The National Asthma Education Program Working Group on Asthma and Pregnancy classification of asthma severity, adapted to include medication use, predicts subsequent asthma morbidity during pregnancy Following the advances in science and technology and the recommendations of the confidential enquiry into maternal deaths the initiative was taken to set up critical care (HDU) within a maternity unit of the Chelsea and Westminster Hospital. This article describes high risk conditions for admission, a definition and aim of the HDU/maternity recovery, the constitution of the team, staffing and training issues, necessary equipment, guidelines and protocols. Maternal mortality and morbidity in the UK in relation to critical care, and a the patient’s view on maternal morbidity are discussed as well. OBJECTIVE: a six-year retrospective study to determine the pattern of admission and outcome for obstetric patients admitted to the intensive care unit of the University of Nigeria Teaching Hospital, Enugu. RESULTS: A total of 816 patients were admitted to the intensive care unit during the period under review. Eighteen (2.2%) were obstetric patients. Nine (50%) were 1nvt 2nvt 3nvt 4nvt 5nvt 6nvt 7nvt 8nvt 9nvt 10nvt Score:nvt 1+ 2+ 3+ 4+/- 5+ 6? 7? 8+ 9- 4 3
Zeeman, G., Wendel, G. & Cunningham, G. (2003) kCE Reports 94 Maternal Intensive Care in Belgium 111 32 USA 483 critically ill peripartum women support and deaths were documented. Maternal mortality was used to determine outcome. Tertiary centre based prospective evaluation of all peripartal admissions to the Obstetric Intermediate Care Unit and obstetric admissions to the medical/surgical Intensive Care Unit from 1998-1999. Diagnosis at admission, dwell (verblijf) time and used procedures were collected and analysed. For a comparison of prevailing practises, they surveyed unit or division directors of other large tertiary obstetric services. Specifically they provide information regarding their plan for obstetrical care. Prospective evaluation and analysis of OICU and M/S ICU obstetrical admissions (health care survey) preeclamptic and eclamptic patients. Four patients (22.2%) had obstetric haemorrhage. Five others presented with the following: asthma, postoperative respiratory distress, cervical incompetence, gestational diabetes and hypertension, and caesarean section for terminal carcinoma of the breast. There were six deaths (mortality rate 33.3%). Preeclampsia/eclampsia accounted for four deaths (44% mortality rate amongst preeclamptics/eclamptics), while two deaths accounted for a 50% mortality rate in the obstetric haemorrhage group. CONCLUSION: This study confirmed similar reports from the advanced nations and Asia that preeclampsia/eclampsia and obstetric haemorrhage are the leading causes of admission to the intensive care unit. The mortality rate in this study is however higher. OBJECTIVE: The purpose of this study was to describe our 2-year experience with 483 critically ill peripartum women and to propose a blueprint for obstetric critical care. RESULTS: Almost two thirds of the women had obstetric complications that included pregnancy-associated hypertension and obstetric hemorrhage. Medical disorders were most common in the other one third of the women. At the OICU 80% were admitted postpartum, 20% during pregnancy. Mean length of stay was 18 hours. 34 women required transfer to the M/S ICU, 24 were transferred for mechanical ventilation. One maternal death occurred in a women with severe preeclampsia and massive intracranial haemorrhage. Results of survey other tertiary centres (6), 3 10- Score:ok Very small sample! 1+ 2+ 3+ 4?+/- 5+ 6? 7-? 8+ 9+/- 10- Score:ok 3
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KCE Reports 94B Soins Maternels Int
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Dépôt légal : D/2008/10.273/78
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35. Etude relative aux coûts poten
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