A Study of Obstetric Admission in Intensive Care Unit - One Year Study at Umaid Hospital

Obstetric patients with these complications are better served by early admission and optimal management in the intensive care unit (ICU). The admission of obstetric patients to the ICU is a challenging task for an intensivist as these patients are young and recover in a short period of time if their management is carried out at the earliest. ICU admission of obstetric patients occur approximately at 0.1-0.9 % of the deliveries. [2, 3, 4, 5] Overall maternal death rate in the ICU varies from 3.4-21 %. [6, 7, 8, 9] Inadequate knowledge about the illness and infrequent admission of the obstetric patients results in high mortality and morbidity. This study was on the prevalence pattern, clinical characteristics, reasons for admission to the ICU and the interventions required in ICU with their subsequent outcome. The most common time of admission to our ICU was during the third trimester (46.79 %) followed by postpartum period (40.37 %). Out of 560 patients, 481 (85.8 %) patient were reffered and 336 (60 %) patients were booked. In our study the most common diagnoses on admission were antepartum eclampsia (29.28 %). During the ICU stay, complications like disseminated intravascular coagulation (DIC) in 100 (17.8 %) patients, acute renal failure in 94 (16.7 %), acute respiratory distress syndrome (ARDS) in 77 (13.8 %), pulmonary embolism in 8 (1.53 %) patient were observed. The ICU maternal mortality rate was 4.1 %, most common cause is irreversible hemorrhagic shock (65.2 %), cardiopulmonary arrest (8.69 %).