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

Baskett, T. &
Sternadel, J.
(1998)
kCE Reports 94 Maternal Intensive Care in Belgium 115
43 Canada 55 patients that
required transfer
for critical care
and 2 maternal
deaths
economic analysis. risk women, which implies that the risk is
relevant to all pregnancies. Long-term
morbidity was rare, and collectively the
outcome of intensive care was good. Further
research is needed to determine effective
approaches in prevention, such as uterine
Retrospective review of all
maternal deaths and any woman
requiring transfer from the freestanding
Grace Maternity Hospital
in the two adjacent general
hospitals (for critical care). Such
cases were coded and retrieved
through the hospital perinatal
database. Complications
necessitating transfer and the
specialised consultants and services
required were analysed over a
period of 14 years (1980-1993).
Women under 20 weeks of
gestation were excluded from the
study population.
Retrospective
tertiary centred
analysis of all
maternal deaths
and referrals to
critical care.
artery embolisation.
OBJECTIVE To determine the level of
near-miss maternal mortality and morbidity
due to severe obstetric complications or
maternal disease in a tertiary maternity
hospital.
RESULTS: Over 14 years there were
76,119 women delivered with two maternal
deaths (2-6/100,000).
Fifty-five women required transfer for critical
care (0.7/1000). The main reasons for
transfer were hypertensive disease (25%),
haemorrhage (22%) and sepsis (1 5%).
Transfer to an intensive care unit was
required by 80%, and the remainder were
transferred to specialised medical or surgical
units. Twenty different specialist groups were
consulted. The 55 patients spent 280 days in
critical care and 464 days hospital after-care
(mean 13 days, range 3-92).
CONCLUSION: A review of near-miss
maternal mortality helps delineate the
continuing threats to
maternal health and the type of support
services most commonly required.
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