Acute Severe Obstetric Events in Critical Care Medicine Department, Cairo University: Nature and Outcome
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- Category: Vol. 80, September 2012
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Acute Severe Obstetric Events in Critical Care Medicine Department, Cairo University: Nature and Outcome,AHMED EL- SAWAF and MOHAMED SHEHATA
Abstract
Acute severe obstetric events have been the target of studies in public health since the beginning of the last century, such events account for majority of maternal morbidity and mortality.
Aim of this Work: To detect the nature of severe acute obstetric events & determine their outcomes in Critical Care Medicine Department of Cairo University from January 2010 to August 2010.
Patient Population and Data Collection: This is a retro-spective study where the data was collected from files of 46 patients with acute severe obstetric events admitted to Critical Care Medicine Department of Cairo University during the period from January 2010 to August 2010. Data retrieved included history, clinical examination, diagnosis, management & outcome.
Result: The most common diagnosis encountered in our study & needed ICU admission was eclampsia, presented in 58.7% followed by preeclampsia, presented in 17.4%, then APH and PPH, presented in 8.7% (each), followed by septic shock in 4.3% and finally APH plus PPH in 2.2% of cases. 11 patients (24%) presented to ICU by hypotension, twenty patients (43%) presented to ICU with anemia & eighteen pts (39%) were mechanically ventilated. As regards to maternal outcome 6 cases died (13%), whereas fetal mortality was 28.3% (13 cases). Maternal mortality were cases with the following diagnoses: 2 cases out of 2 pts (100%) presented with septic shock. 2 cases out of 8 pts (25%) presented with preeclampsia and finally 2 cases out of 27 pts (7.4 %) cases presented with eclampsia (each diagnosis represented 33.3% of all dead cases), and there was statistically significant difference between dead and live cases as regard the diagnosis p<0.05.
In Conclusion: Pregnancy induced hypertension (eclampsia & preeclampsia) was the most frequent cause of ICU admis-sion, also it accounted for higher mortality, so attempts to reduce maternal deaths in Cairo university hospitals may best be achieved by proper management of such group of diseases.