Frequency of Obstetrical Admissions in Intensive Care Unit
DOI:
https://doi.org/10.70749/ijbr.v3i6.3138Keywords:
Critical Care, Eclampsia, Intensive Care Units, Postpartum Hemorrhage, Pregnancy Complications, Preeclampsia.Abstract
Background: Obstetrical admission to intensive care unit is an important indicator of severe maternal morbidity and poor pregnancy outcome. Pregnant women may rapidly develop life threatening complications during pregnancy, delivery or postpartum period which require intensive monitoring and management. Objective: To determine the frequency of obstetrical admissions in intensive care unit. Study Design: Cross sectional study. Duration and Place of Study: This study was conducted from 11th January 2025 to 11th May 2025 at the Department of Obstetrics and Gynaecology, Ayub Teaching Hospital Abbottabad. Methodology: A total of 271 obstetrical patients aged 18–40 years with singleton pregnancy and gestational age more than 20 weeks were included in the study. Demographic details, clinical findings and reasons for intensive care unit admission were recorded on preformed proforma. Data were analysed by using IBM Statistical Package for Social Sciences version 26. Results: The mean age of patients was 28.41 ± 6.12 years and mean gestational age was 35.88 ± 2.83 weeks. Out of 271 patients, 27 (10.0%) required intensive care unit admission. The most common causes of admission were preeclampsia/eclampsia 8 (29.6%) and postpartum haemorrhage 8 (29.6%). Intensive care unit admission showed significant association with age >30 years (p=0.005), parity >2 (p<0.001), body mass index >25 kg/m² (p<0.001) and education level (p=0.008). Conclusion: Obstetrical intensive care unit admission were not uncommon and hypertensive disorders along with postpartum haemorrhage remained the major causes of critical maternal illness
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