Rathod Ashakiran T, Malini K V
Department of Obstetrics and Gynecology, Bangalore Medical College and Research Institute, No. 620, A4 Block, Krishna Block, National Games Village, Koramangala, Bangalore, Karnataka 560047 India.
J Obstet Gynaecol India. 2016 Oct;66(Suppl 1):12-7. doi: 10.1007/s13224-015-0750-5. Epub 2015 Aug 26.
To analyze obstetric admissions to intensive care unit and to identify the risk factors responsible for intensive care admission.
This is a retrospective study of all obstetric cases admitted to the intensive care unit over a period of 3 years. Data were collected from case records. The risk factors responsible for ICU admission were analyzed.
There were 765 obstetric admissions to ICU accounting for 1.24 % of all deliveries. 56.20 % were in the age group of 20-25 years. 38.43 % were in their first pregnancy. 36.48 % of cases were at 37-40 weeks of gestation. Postpartum admissions were 80.91 %. Major conditions responsible were obstetric hemorrhage in 44.05 %, hypertensive disorders of pregnancy in 28.88 %, severe anemia in 14.37 %, heart disease in 12.15 %, and sepsis in 7.97 % of ICU cases. 40.39 % cases required high dependency care. Maternal mortality was seen in 15.55 % of ICU cases. Commonest cause of mortality was hemorrhagic shock (26.89 %) and multiorgan dysfunction syndrome (26.05 %).
Commonest risk factors for ICU admissions are obstetric hemorrhage and hypertensive disorders of pregnancy. Other major risk factors are severe anemia, heart disease, sepsis, more than one diagnosis on admission, and the need for cesarean delivery.
分析入住重症监护病房的产科病例，并确定导致入住重症监护病房的风险因素。
这是一项对3年内入住重症监护病房的所有产科病例的回顾性研究。数据从病例记录中收集。分析导致入住重症监护病房的风险因素。
共有765例产科病例入住重症监护病房，占所有分娩病例的1.24%。56.20%的患者年龄在20至25岁之间。38.43%为首次怀孕。36.48%的病例孕周在37至40周之间。产后入住病例占80.91%。主要病因包括：44.05%的病例为产科出血，28.88%为妊娠期高血压疾病，14.37%为严重贫血，12.15%为心脏病，7.97%的重症监护病房病例为败血症。40.39%的病例需要高度依赖护理。15.55%的重症监护病房病例出现孕产妇死亡。最常见的死亡原因是失血性休克（26.89%）和多器官功能障碍综合征（26.05%）。
入住重症监护病房最常见的风险因素是产科出血和妊娠期高血压疾病。其他主要风险因素包括严重贫血、心脏病、败血症、入院时存在不止一种诊断以及需要剖宫产。
