Koukoubanis Konstantinos, Prodromidou Anastasia, Stamatakis Emmanouil, Valsamidis Dimitrios, Thomakos Nikolaos
First Department of Obstetrics and Gynecology, Medical School, National and Kapodistrian University of Athens, 'Alexandra' Hospital, 11528 Athens, Greece.
Department of Anesthesiology and Pain Management, 'Alexandra' General Hospital of Athens, 11528 Athens, Greece.
Biomed Rep. 2021 Jul;15(1):58. doi: 10.3892/br.2021.1434. Epub 2021 May 6.
Pregnancy is considered a natural process for the majority of women. However, a limited proportion of pregnancies and deliveries can present with a broad variety of complications that may require admission to a Critical Care Unit (CCU). In the present review, the indications of admission of obstetrical and postpartum patients to CCUs were critically evaluated with a particular focus on the management of their complications. The management of critically ill obstetric patients remains challenging due to the physiological changes that occur during pregnancy, pregnancy-related diseases and the need to carefully consider the well-being of the fetus before any intervention can be recommended/performed. Indications for admission to CCUs include both obstetric and non-obstetric conditions that may require continuous monitoring and further interventions. Hypertensive disorders of pregnancy and mass hemorrhage are amongst the most common causes of admission to CCUs in pregnant and postpartum women. The establishment of a diagnostic and care algorithm based on the contribution of a multidisciplinary team is of critical importance to aid in the determination of which patients will require intensive care, and to assist in deciding what type of critical care each critically ill patients receives.
对大多数女性来说，怀孕被视为一个自然过程。然而，有一小部分妊娠和分娩会出现各种各样的并发症，可能需要入住重症监护病房（CCU）。在本综述中，对产科和产后患者入住CCU的指征进行了严格评估，特别关注其并发症的管理。由于孕期发生的生理变化、与妊娠相关的疾病以及在推荐/实施任何干预措施之前需要仔细考虑胎儿的健康状况，对重症产科患者的管理仍然具有挑战性。入住CCU的指征包括可能需要持续监测和进一步干预的产科和非产科情况。妊娠高血压疾病和大量出血是孕妇和产后妇女入住CCU最常见的原因。基于多学科团队的贡献建立诊断和护理算法对于帮助确定哪些患者需要重症监护以及协助决定每位重症患者接受何种类型的重症护理至关重要。
