Yoğun Bakım Ünitesinde Obstetrik Olgular

Abstract

Objective: Aim of this study is to evaluate retrospectively obstetric cases to determine the causes and outcomes of intensive care unit. Methods: Total 6000 patients referred to ICU from 2005 to 2010 21 patients were referred to ICU because of obstetric diseases. 11 patients (52%) were delivered to university hospital from other hospital, 10 patient (48%) were also transferred to ICU from obstetric and gynecologic department. 62% were pregnant, 38% postpartum period were received to ICU because of obstetrics diseases. Mean age of 21 patients is 34.7±7.9 years. Mean age of survivors is 34.9±8, Mean age of non-survivors 32.0. ICU stay is 2.3±2.5 days. There were differences ICU stay between survivors and non-survivors (p<0.05). While ICU stay of survivors is 2.1±2.4 days, ICU stay of non-survivors is 6 days. Most common reasons about obstetric of ICU admittance were postpartum hemorrhage (57%) and hypertension related to eclampsia/preeclampsia (10%). One of patients died and mortality rate was found as 5%. Results: In this study; 21 obstetric patients referred to ICU (intensive care unit) from 2005 to 2010 in pregnancy and/or postpartum period, were evaluated by observing demographic data, admittance reasons, interventions in ICU and clinical outcomes. Conclusion: ICU requirement for obstetric cases was seen mostly because of obstetric hemorrhage and uncontrolled hypertension. Strategies improved for solving these problems and regular antenatal care would significantly decrease major maternal morbidity and