Obstetrical and Gynecological conditions requiring intensive admission from Basra maternity and child hospital A five year survey

Abstract

Objective:- To assess the obstetrical and gynecological cases admitted to ICU, causes of admission, intervention required, and their morbidity and mortality.
Methods :- During the five years period from 1st of Jan 2004 till 1st of Jan 2009, 119 patients were admitted to ICU. Cases were reviewed in detail including age, parity, reason for ICU admission, clinical features, response to intervention and maternal outcome.
Result :- mean maternal age was (29.8±6) years the main causes for admission massive bleeding, complications of anesthesia followed by hypertensive disorders of pregnancy (42.8%) (21.8%) (18.4%) respectively, coagulopathy (36.1%) and respiratory failure (26.8%) were the main organ failure, most the admitted patients needed transfusion (50.4%) and ventilatory support (26.50%) specialized intervention like dialysis and surgical intervention were also required (20.1%) .
Conclusion:- Invasive hemodynamic monitoring and ventilatory support were the two main interventions, improving quality of care before and after admission to ICU may reduce maternal mortality.