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首页> 外文期刊>Nepal Journal of Obstetrics and Gynaecology >Profile of Obstetric Morbidity Among Maternal Intensive Care Unit Patients
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Profile of Obstetric Morbidity Among Maternal Intensive Care Unit Patients

机译：孕产妇重症监护病房患者的产科发病率概况

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Aims: The objective of the study was to determine the outcome of the obstetric admissions to Maternal Intensive Care Unit in the setting of a tertiary care hospital. Methods: This was a cross-sectional study undertaken at Paropakar Maternity and Women’s Hospital from April 1, 2012 to March 31, 2013. Patient characteristics, gestational age, booking status, indication for intensive care unit admission, intervention, length of stay and outcome were analyzed. Results: During the study period, 19,247 deliveries occurred and 247 women were admitted to maternal intensive care unit. This accounts for 1.28% of all deliveries. The most common indication of admission to intensive care unit was hypertensive disorders in pregnancy (45.3%) followed by obstetric hemorrhage (39.27%). Sepsis was the cause in ten (4.04%) cases. Ten cases (4.04%) of postpartum hemorrhage were managed by balloon tamponade, seven (2.83%) by B-Lynch compression sutures and three (1.21%) necessitated cesarean hysterectomy. Among 18 cases of ruptured uterus, 13 (5.26%) were repaired while five (2.02%) required hysterectomy. Maternal mortality occurred in four (1.61%) of the cases. One was a case of severe preeclampsia who died on 4th post-operative day due to pulmonary embolism, another due to anesthetic complication and the other two died of septic shock and multiorgan failure. Conclusions: Hypertensive disorders of pregnancy and obstetric hemorrhage appeared as the major risk factors for admission to an intensive care unit thereby influencing maternal outcomes in obstetric patients. DOI: http://dx.doi.org/10.3126jog.v9i2.11762
机译：目的：本研究的目的是确定三级护理医院中产科重症监护病房的产科收治情况。方法：这是一项横断面研究，于2012年4月1日至2013年3月31日在帕罗帕卡妇产妇医院进行。被分析。结果：在研究期间，分娩了19247例，有247例妇女进入了产妇重症监护病房。这占所有交付量的1.28％。重症监护病房最常见的适应症是妊娠高血压疾病（45.3％），其次是产科出血（39.27％）。败血症是十个病例（4.04％）的原因。十例（4.04％）产后出血通过球囊填塞治疗，七例（2.83％）通过B-Lynch加压缝合处理，三例（1.21％）需要进行剖宫产子宫切除术。在18例子宫破裂病例中，有13例（5.26％）得到了修复，而5例（2.02％）需要进行子宫切除术。产妇死亡率发生在四例（1.61％）中。一例是严重子痫前期病例，在术后第4天死于肺栓塞，另一例是由于麻醉并发症而死，另外两例死于败血性休克和多器官功能衰竭。结论：妊娠高血压病和产科出血似乎是重症监护病房入院的主要危险因素，从而影响了产科患者的产妇结局。 DOI：http：//dx.doi.org/10.3126jog.v9i2.11762

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