DOI: 10.36347/sjams.2018.v06i11.043

Pages: 4394-4398

Care of the critically ill obstetric patients is a unique challenge particularly because of its unpredictability. Pregnancy though physiological and can be associated with major maternal morbidity with potential catastrophic consequences requiring utilization of facilities of Intensive Care Unit (ICU). To study the profile of patients admitted in LD Tertiary Care ICU Hospital Dept of Obstetrics & Gynecology, Govt; Medical College, Srinagar. A hospital based observational study was conducted from June 2014 to June 2016. All obstetric admissions to the ICU up to 42 days postpartum were included. Detailed history taken and outcome noted. Results were subjected to statistical evaluation using SSP software. A total of 460 obstetric patients required ICU admission during the study period. This accounts for 2.83% of total hospital deliveries and 7.57% of all ICU admissions. Majority of patients (63%) were admitted during postpartum period. The leading obstetric indication for ICU admission was obstetric hemorrhages (23.9%). Ectopic pregnancy was common (12 patients) among the obstetric hemorrhages. In the present study maternal mortality was 4.56%, while 89.13% were improved after treatment. The main cause of maternal death was obstetric haemorrhage (42.85%). ICU interventions during the stay of the patients in terms of mechanical ventilation were used in 34.56% of cases. Other interventions included blood & blood product transfusion in 108 (23.47%), inotropes in 68 (14.78%), anti-hypertensive in 45 (9.78%), anticonvulsant in 55 (11.95%) & dialysis in 12 (2.6%) cases. The need of ICU admission has not changed over the past years. Pattern is same all over the world with hypertensive disorders and obstetric haemorrhage being the most common obstetric reasons for admission. Risk factors for admission included lesser gestational age, caesarean section, blood loss and co-morbid conditions. To reduce the mortality early referral to ICU so as to provide optimum care of circu