Tampere University, Faculty of Social Sciences, Finland.
Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland; Centre for Research Methods, Faculty of Social Sciences, University of Helsinki, Finland.
Int J Obstet Anesth. 2020 Feb;41:65-70. doi: 10.1016/j.ijoa.2019.07.002. Epub 2019 Jul 6.
The objective of this study was to evaluate the course of pregnancy and delivery of obstetric patients admitted for intensive care, and determine the health status of their infants.
This was a retrospective register-based study. Four university hospitals in Finland participated. Obstetric patients admitted to the intensive care unit in any trimester of pregnancy, during delivery or up to 42 days post partum were identified from clinical information systems over a five-year study period. Parturient and infant data were collected from the Medical Birth Register.
During the study period (2007-2011), 283 obstetric patients were identified from the clinical information system. The most common reason for admission was hypertensive complications (58%), followed by obstetric haemorrhage (25.1%). Advanced maternal age, nulliparity and multiple pregnancies were associated with obstetric intensive care unit admissions. Of patients admitted to intensive care, 68.9% delivered by unscheduled caesarean section. Nearly 60% of neonates were born preterm, 56.1% needed treatment in a neonatal intensive care unit or an observation unit and 4.6% died within one week.
Advanced maternal age, nulliparity and multiple pregnancy were more common among intensive care unit-admitted women than in the general obstetric population. The main causes for admission were hypertensive complications and obstetric haemorrhage. Compared with the general obstetric population, neonates of intensive care unit-admitted mothers were eight times more likely to require treatment on a neonatal ward and their risk of neonatal death was also eight times greater.
本研究旨在评估入重症监护病房的产科患者的妊娠和分娩过程，并确定其婴儿的健康状况。
这是一项回顾性基于登记的研究。芬兰的 4 所大学医院参与了该研究。在五年的研究期间，通过临床信息系统从妊娠任何阶段、分娩期间或产后 42 天内入重症监护病房的产科患者中确定了患者。从医疗分娩登记处收集了产妇和婴儿的数据。
在研究期间（2007-2011 年），从临床信息系统中确定了 283 名产科患者。入院的最常见原因是高血压并发症（58%），其次是产科出血（25.1%）。高龄产妇、初产妇和多胎妊娠与产科重症监护病房的入院有关。入重症监护病房的患者中，68.9%通过非计划剖宫产分娩。近 60%的新生儿早产，56.1%需要在新生儿重症监护病房或观察室治疗，4.6%在一周内死亡。
与一般产科人群相比，重症监护病房产妇中高龄产妇、初产妇和多胎妊娠更为常见。入院的主要原因是高血压并发症和产科出血。与一般产科人群相比，重症监护病房产妇的新生儿入住新生儿病房的可能性高 8 倍，新生儿死亡的风险也高 8 倍。
