Obstetric Intensive Care Admissions: 10-Year Review in a Portuguese Tertiary Care Centre

Detalhes bibliográficos
Autor(a) principal: Vicente,Ana Patrícia
Data de Publicação: 2021
Outros Autores: González,Margarida, Vicente,Inês, Gomes,Andrea Sousa, Ramos,Armindo, Nunes,Filomena
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302021000400327
Resumo: Abstract Overview and Aims: Maternal mortality has significantly decreased in past decades, especially in developed countries, where maternal morbidity became a main topic of research. Admission to an Intensive Care Unit (ICU) is considered an objective marker of severe maternal morbidity (SMM). Better knowledge of these patients is vital to achieve further maternal health improvements. This study aims to review obstetric ICU admissions. Study Design, Population and Methods: Retrospective transversal analysis of all obstetric ICU admissions between 2010 and 2019, in a tertiary care centre. Results: Thirty-eight women required obstetric ICU admission (1,59 for 1000 deliveries, 1,07% of all ICU admissions). Mean maternal age was 32 years, 57,9% were nulliparous, 34,2% were non-caucasian and 21,1% did not live in Portugal. Caesarean section was the main mode of delivery (86,8%), with 52,6% prematurity rate. The majority of ICU admissions were postpartum (97,4%), and median length of ICU stay was 3 days. Major obstetric haemorrhage (MOH) (44,7%) and hypertensive disorders (21,1%) were the most common diagnostics. The main interventions required were blood transfusion (57,9%) and mechanical ventilation (52,9%). No maternal deaths were recorded. Postpartum hysterectomy was performed in 5 patients (29,4% of MOH cases). Conclusions: Maternal morbidity and mortality analysis is vital, regarding maternal health care improvement. Few obstetric patients required ICU admission, with good outcomes. MOH and hypertensive disorders are the main causes for obstetric ICU admission. An increased number of non-caucasian and non-resident women can have some impact on ICU admission trends. Nonetheless, critically ill patients can be successfully managed with a multidisciplinary approach.
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spelling Obstetric Intensive Care Admissions: 10-Year Review in a Portuguese Tertiary Care CentreObstetricIntensive Care UnitMaternal Morbidity and MortalityAbstract Overview and Aims: Maternal mortality has significantly decreased in past decades, especially in developed countries, where maternal morbidity became a main topic of research. Admission to an Intensive Care Unit (ICU) is considered an objective marker of severe maternal morbidity (SMM). Better knowledge of these patients is vital to achieve further maternal health improvements. This study aims to review obstetric ICU admissions. Study Design, Population and Methods: Retrospective transversal analysis of all obstetric ICU admissions between 2010 and 2019, in a tertiary care centre. Results: Thirty-eight women required obstetric ICU admission (1,59 for 1000 deliveries, 1,07% of all ICU admissions). Mean maternal age was 32 years, 57,9% were nulliparous, 34,2% were non-caucasian and 21,1% did not live in Portugal. Caesarean section was the main mode of delivery (86,8%), with 52,6% prematurity rate. The majority of ICU admissions were postpartum (97,4%), and median length of ICU stay was 3 days. Major obstetric haemorrhage (MOH) (44,7%) and hypertensive disorders (21,1%) were the most common diagnostics. The main interventions required were blood transfusion (57,9%) and mechanical ventilation (52,9%). No maternal deaths were recorded. Postpartum hysterectomy was performed in 5 patients (29,4% of MOH cases). Conclusions: Maternal morbidity and mortality analysis is vital, regarding maternal health care improvement. Few obstetric patients required ICU admission, with good outcomes. MOH and hypertensive disorders are the main causes for obstetric ICU admission. An increased number of non-caucasian and non-resident women can have some impact on ICU admission trends. Nonetheless, critically ill patients can be successfully managed with a multidisciplinary approach.Euromédice, Edições Médicas Lda.2021-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302021000400327Acta Obstétrica e Ginecológica Portuguesa v.15 n.4 2021reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302021000400327Vicente,Ana PatríciaGonzález,MargaridaVicente,InêsGomes,Andrea SousaRamos,ArmindoNunes,Filomenainfo:eu-repo/semantics/openAccess2024-02-06T17:21:54Zoai:scielo:S1646-58302021000400327Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:28:45.673534Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Obstetric Intensive Care Admissions: 10-Year Review in a Portuguese Tertiary Care Centre
title Obstetric Intensive Care Admissions: 10-Year Review in a Portuguese Tertiary Care Centre
spellingShingle Obstetric Intensive Care Admissions: 10-Year Review in a Portuguese Tertiary Care Centre
Vicente,Ana Patrícia
Obstetric
Intensive Care Unit
Maternal Morbidity and Mortality
title_short Obstetric Intensive Care Admissions: 10-Year Review in a Portuguese Tertiary Care Centre
title_full Obstetric Intensive Care Admissions: 10-Year Review in a Portuguese Tertiary Care Centre
title_fullStr Obstetric Intensive Care Admissions: 10-Year Review in a Portuguese Tertiary Care Centre
title_full_unstemmed Obstetric Intensive Care Admissions: 10-Year Review in a Portuguese Tertiary Care Centre
title_sort Obstetric Intensive Care Admissions: 10-Year Review in a Portuguese Tertiary Care Centre
author Vicente,Ana Patrícia
author_facet Vicente,Ana Patrícia
González,Margarida
Vicente,Inês
Gomes,Andrea Sousa
Ramos,Armindo
Nunes,Filomena
author_role author
author2 González,Margarida
Vicente,Inês
Gomes,Andrea Sousa
Ramos,Armindo
Nunes,Filomena
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Vicente,Ana Patrícia
González,Margarida
Vicente,Inês
Gomes,Andrea Sousa
Ramos,Armindo
Nunes,Filomena
dc.subject.por.fl_str_mv Obstetric
Intensive Care Unit
Maternal Morbidity and Mortality
topic Obstetric
Intensive Care Unit
Maternal Morbidity and Mortality
description Abstract Overview and Aims: Maternal mortality has significantly decreased in past decades, especially in developed countries, where maternal morbidity became a main topic of research. Admission to an Intensive Care Unit (ICU) is considered an objective marker of severe maternal morbidity (SMM). Better knowledge of these patients is vital to achieve further maternal health improvements. This study aims to review obstetric ICU admissions. Study Design, Population and Methods: Retrospective transversal analysis of all obstetric ICU admissions between 2010 and 2019, in a tertiary care centre. Results: Thirty-eight women required obstetric ICU admission (1,59 for 1000 deliveries, 1,07% of all ICU admissions). Mean maternal age was 32 years, 57,9% were nulliparous, 34,2% were non-caucasian and 21,1% did not live in Portugal. Caesarean section was the main mode of delivery (86,8%), with 52,6% prematurity rate. The majority of ICU admissions were postpartum (97,4%), and median length of ICU stay was 3 days. Major obstetric haemorrhage (MOH) (44,7%) and hypertensive disorders (21,1%) were the most common diagnostics. The main interventions required were blood transfusion (57,9%) and mechanical ventilation (52,9%). No maternal deaths were recorded. Postpartum hysterectomy was performed in 5 patients (29,4% of MOH cases). Conclusions: Maternal morbidity and mortality analysis is vital, regarding maternal health care improvement. Few obstetric patients required ICU admission, with good outcomes. MOH and hypertensive disorders are the main causes for obstetric ICU admission. An increased number of non-caucasian and non-resident women can have some impact on ICU admission trends. Nonetheless, critically ill patients can be successfully managed with a multidisciplinary approach.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-01
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dc.publisher.none.fl_str_mv Euromédice, Edições Médicas Lda.
publisher.none.fl_str_mv Euromédice, Edições Médicas Lda.
dc.source.none.fl_str_mv Acta Obstétrica e Ginecológica Portuguesa v.15 n.4 2021
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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