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

Demirkiran, O.,
Dikmen, Y., Utku,
T. & Urkmez, S.
(2003)
Karnad, D., Lapsia,
V., Krishnan, A.,
Salvi, V. (2004)
124 Maternal Intensive Care in Belgium KCE Reports 94
14 Turkey 125
obstetric
patients
admitted to
the ICU
15 India 453 women
admitted to
the
multidisciplin
ary ICU
during
pregnancy
and 6 weeks
postpartum
puerperium (1 week). Information
regarding reason for admission,
duration of stay, associated
complications, type of delivery, type
of aesthetic and patient outcome
were retrieved.
A retrospective tertiary centre based
analysis of the records from obstetric
patients who were admitted to the
ICU for more than 24 hours,
between 1995 and 2000. Following
data was obtained: maternal age,
gestational age, mode of delivery,
presence of coexisting medical
problems, duration of ICU stay, ICU
admission diagnosis, specific intensive
care interventions (mechanical
ventilation, continuous veno-venous
hemofiltration, central venous
catheterization, arterial cannulation),
ICU outcome and maternal mortality.
APACHE II was used to measure
severity of illness.
A retrospective tertiary centre based
analysis of the records of all patients
admitted to the medico-neuro ICU of
the King Edward Memorial Hospital,
between 1997 and 2001. Age,
previous obstetric history, weeks of
gestation, pre-existing medical
disorders and other medical or
obstetric disorders developing during
Retrospective
tertiary
centre based
analysis of
obstetric
admissions to
the multidisciplinary
ICU
Retrospective
tertiary
centre based
analysis of
obstetric
admissions to
the medicalneuro
ICU
The median duration of stay was three days (range 1–
21). Haemorrhage and pregnancy-induced hypertension
accounted for the majority of obstetric complications.
Anaesthesia may have contributed to the admission of
eight patients. Eight patients had more than one
admission diagnosis. There were two deaths and one
case of major morbidity (hypoxic encephalopathy) in this
series. Prolonged ventilation and/or inotropic support
were generally not required.
CONCLUSION: In conclusion, approximately 3 per
1000 maternities require intensive care in this institution.
The majority are discharged after a short stay with good
outcome.
OBJECTIVE: We aimed to determine the morbidity
and mortality among obstetric patients admitted to the
intensive care unit
RESULTS: Obstetric patients (n=125) represented
2.64% of all intensive care unit admissions and 0.89% of
all deliveries during the five-year period. The overall
mortality of those admitted to the intensive care unit
was 10.4%. Maternal age and gestation of newborns
were similar in survivors and non-survivors. There were
significant differences in length of stay and APACHE II
score between survivors and non-survivors (P < 0,05).
The commonest cause of intensive care unit admission
was preeclampsia/eclampsia (73.6%) followed by postpartum
hemorrhage (11.2%).
CONCLUSION: Intensive care specialists should be
familiar with these complications of pregnancy and
should work closely with obstetricians.
OBJECTIVES: Obstetric patients form a significant
proportion of intensive care unit admissions in countries
like India, where maternal mortality is high (440 per
100,000 deliveries). We studied the diseases requiring
intensive care and prognostic factors in obstetric
patients.
RESULTS: Four hundred fifty-three obstetric patients,
mean gestational age 31 wks) were admitted (548
intensive care unit admissions per 100,000 deliveries),
9+/-
10-
Score: -
1+/-
2+/-
3+
4?
5+/-
6?
7+/-
8+
9+/-
10?
Score:
+/-
1+/-
2+
3+
4+/-
5nvt
6?
7+
8+
9+/-
3
3