Pollock Wendy E
School of Nursing, The University of Melbourne, VIC.
Aust Crit Care. 2006 May;19(2):54-5, 57-65. doi: 10.1016/s1036-7314(06)80010-x.
Critically ill pregnant and postnatal women admitted to intensive care units (ICUs) require highly specialised care, components of which many critical care nurses are unfamiliar with. There are no specialist critical care obstetric centres in Australia, with critically ill obstetric patients admitted to general ICUs. There are no published guidelines and little research that assist critical care nurses to care for such women. Furthermore, the admission of pregnant or postnatal women to ICUs is likely to increase with emerging childbearing patterns in Australia. It is therefore timely to review what we know about caring for critically ill pregnant and postnatal women. This paper analyses the literature on intensive care utilisation by obstetric patients and provides an overview regarding which pregnant and postpartum women require intensive care. The key areas of providing mechanical ventilation to pregnant women and assessment of fetal wellbeing are explored in detail. The most frequent conditions and their treatment, preeclampsia and obstetric haemorrhage, are also reviewed. The establishment of lactation is also considered as the critical carenurse is commonly involved in supporting the woman's endeavour to breastfeed.
入住重症监护病房（ICU）的危重症孕产妇需要高度专业化的护理，而许多重症护理护士对其中的一些护理内容并不熟悉。澳大利亚没有专门的重症产科护理中心，危重症产科患者被收治到普通ICU。目前没有已发表的指南，也几乎没有研究能帮助重症护理护士护理这类患者。此外，随着澳大利亚生育模式的变化，入住ICU的孕产妇数量可能会增加。因此，及时回顾我们对危重症孕产妇护理的了解是很有必要的。本文分析了有关产科患者重症监护利用情况的文献，并概述了哪些孕妇和产后妇女需要重症监护。详细探讨了为孕妇提供机械通气和评估胎儿健康状况的关键领域。还回顾了最常见的病症及其治疗方法，即先兆子痫和产科出血。由于重症护理护士通常会参与支持产妇母乳喂养的努力，因此也考虑了泌乳的建立。
