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NIGER DELTA JOURNAL OF MEDICINE & MEDICAL RESEARCH

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Archive | ISSUE: , Volume: Jul-Sep-2024

FOETO MATERNAL OUTCOME FOLLOWING SEVERE MATERNAL MORBIDITY AND DELIVERY: A SNAPSHOT AUDIT OF INTENSIVE CARE UNIT ADMISSIONS IN ONE TEACHING HOSPITAL


Author:Fyneface-Ogan S, Otokwala JG, Hart F

published date:2024-Sep-20

FULL TEXT in - | page 92 - 96

Abstract

Background: Complications occasionally occur in pregnancy, during parturition or in the puerperium with consequences for the mother and the foetus. Sudden physiological deteriorations may require the need for organ-system support which occurs mostly in the intensive care unit or high dependency units. In settings with high maternal and foetal morbidities and mortalities, an indication of the quality of maternal care is defined by the maternal and foetal outcome of critically ill parturients.

Objective: The aim of this retrospective study was to assess the foeto-maternal outcome of critically ill parturients in the Intensive Care Unit (ICU) of our hospital.

Methods: Ethical permission was obtained from the Ethics and Research Committee of our hospital. Included were all maternal admissions involving severe maternal morbidities within the 5-year study period and the foetal outcome of such pregnancies. Data collected from the patients, ICU records, SCBU records and labour ward were analyzed.

Results: Out of the one thousand one hundred and eight patients admitted into ICU, 218 (19.7%) were obstetric patients, with mean duration of ICU stay being 4.08±1.39 days. Unbooked parturients predominated the statistics of the parturients admitted and had worse foetal outcome. The commonest indication for ICU admission was hypertensive disorders of pregnancy.

Conclusion: This audit proves that poverty, lack of antenatal care, unavailability of skilled attendants, and lack of hospital beds pose problems in the care of obstetric patients. The women without properly supervised care had a worse maternal and foetal outcome.

 

Keywords: Critically ill, Preeclampsia, Unbooked parturient, Foetal outcome, Severe maternal morbidity

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