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November 4, 2019Acta Médica PortuguesaOpen Access

Obstetric Admissions to the Intensive Care Unit: A 18-Year Review in a Portuguese Tertiary Care Centre

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Key result

Obstetric admissions to the intensive care unit occurred at a rate of 0.7 per 1000 deliveries, primarily due to hypertensive disorders, with a maternal mortality rate of 4.3%.

Population

93 pregnant and postpartum women admitted to the intensive care unit between 2000 and 2017 in a Portuguese…

Design

Cohort

Follow-up

median length of stay 5 days

Authors

SOSara OliveiraUniversidade de BrasíliaCFCatarina Bico FilipeHospital Beatriz ÂngeloNHNatacha HussonUniversity of Coimbra

Discussion

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Implication

Obstetric ICU admissions remain infrequent with 4.3% mortality here; leaves open regional benchmarking and targeted prevention strategies.

Study Design

Type

Observational (n=93)

Multicenter

No

Structured PICO

P
Population
93 pregnant or postpartum women admitted to a tertiary intensive care unit over an 18-year period to evaluate incidence, morbidity, and mortality.
O
Outcome
Incidence, maternal morbidity and mortalityhard clinical

Obstetric ICU admissions are rare (0.7 per 1000 deliveries) and primarily driven by hypertensive disorders and obstetric hemorrhage, with a maternal mortality rate of 4.3%.

Limitations

  • Selected population in a tertiary referral centre for high risk situations limits generalizability
  • Retrospective design affects the ability to identify cases accurately using existing databases
  • Possible under-reporting of the incidence of ICU admission of pregnant and postpartum women

Cite This Study

Oliveira et al. (2019) conducted an observational in Obstetric complications requiring ICU admission (n=93). Obstetric ICU admission was evaluated on Maternal mortality. Obstetric admissions to the intensive care unit occurred at a rate of 0.7 per 1000 deliveries, primarily due to hypertensive disorders, with a maternal mortality rate of 4.3%.

synapsesocial.com/papers/6ab4af134fbe54468a75c968https://doi.org/10.20344/amp.11410
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Obstetric Admissions to the Intensive Care Unit in a Tertiary Hospital2016 · 17 citations
  2. 2Epidemiology of Obstetric-Related ICU Admissions in Maryland2013 · 218 citations
  3. 3Multicenter study of obstetric admissions to 14 intensive care units in southern England2001 · 175 citations
  4. 4WHO systematic review of maternal morbidity and mortality: the prevalence of severe acute maternal morbidity (near miss)2004 · 475 citations
  5. 5Use of the Sequential Organ Failure Assessment score for evaluating outcome among obstetric patients admitted to the intensive care unit2015 · 49 citations