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

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152 Maternal Intensive Care in Belgium KCE Reports 94 Gastrointestinal disorders • Every disorder labelled as low-risk by a gastrointestinal specialist but not specified as a disorder requiring a level of intermediate care Gastrointestinal disorders • BMI, 35 or more (at first contact) or underweight (BMI less than 18 rrrr ) • Gastric bypass • Cholestasis ≤ 40 mg/l Gastrointestinal disorders • Other chirurgical interventions with malabsorption • Stomach/duodenal ulcer • Cholestatis >40 mg/l • Disturbed liver functioning • Stoma • Severe acute abdominal pain , not pregnancy related (e.g. appendicitis) • Acute/chronic pancreatitis • Other severe gastro-intestinal infections • Every disorder labelled as high-risk by a gastrointestinal specialist but not specified as a disorder requiring a level of standard care A level of intensive care is required when a life threatening situation is diagnosed and when the patient needs the following support: mechanical ventilation and/or multiple organ support and/ or invasive monitoring and/or artificial life support. rrrr National collaborating centre for women’s and children’s health. Antenatal care routine care for the healthy pregnant woman, Clinical guideline 23. Retrieved June 18, 2007 from cebam, rcog: http://www.rcog.org.uk/resources/Public/pdf/Antenatal_Care.pdf.
KCE Reports 94 Maternal Intensive Care in Belgium 153 ANNEX 3: THEORETIC MODEL, PREGNANCY RELATED PATHOLOGY Standard care (low-risk) Recommended intermediate care (GRADE 2C, weak recommendation) Miscarriage/abortion • Termination of pregnancy ≤ 14 weeks Intra uterine death PPROM • ≥32 weeks Preterm labour • ≥ 32 weeks IUGR • Estimated fetal weight by ultrasound > P5 and normal Doppler values Immunisation Miscarriage/abortion Intra uterine death PPROM Preterm labour IUGR • Estimated fetal weight by ultrasound < P5 and normal Doppler values Immunisation Indispensable intermediate care (GRADE 1C, strong recommendation) Miscarriage/abortion • Termination of pregnancy for fetal pathology > 14 weeks Intra uterine death • > 20 weeks PPROM • < 32 weeks Preterm labour •
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Status KCE Reports 94 Maternal Inte
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Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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