Contributory Factors for Obstetric ICU Admission: A Prospective Cross-sectional StudyCorrespondence Address :
Dr. Shilpa Singh,
Assistant Professor, Department of Obstetrics and Gynaecology, UCMS and GTB Hospital, New Delhi-110095, India.
Introduction: The physiological changes of pregnancy can turn pathological leading to Intensive Care Unit (ICU) admission of mother. The contributory factors to these ICU admissions need to be properly identified so that quality of obstetric services could be improved.
Aim: To identify contributory factors to obstetric ICU admission.
Materials and Methods: A prospective observational study was conducted in a multidisciplinary ICU of a tertiary care hospital of East Delhi, India. Maternal characteristics of women requiring ICU admission as well as contributory factors to ICU admission were observed and analysed. ‘Contributory factor’ was defined as modifiable component of health system and quality of care covering organisational, personnel and social factors. Descriptive data was tabulated as absolute figures and percentages.
Results: Hypertensive disorder of pregnancy was most common primary diagnosis of ICU admission. Massive intraperitoneal haemorrhage leading to Disseminated Intravascular Coagulation (DIC) and multiorgan failure was major cause of death in ICU admitted patients. Delay in referral and lack of transportation were found to be most contributory (84%) in obstetric ICU admission.
Conclusion: Social factors are major hurdle in achieving safe motherhood in India. There is a strong need of sensitisation regarding primary obstetric care among illiterate and poor women to decrease obstetric ICU admissions.
Maternal intensive care unit admissions, Maternal morbidity, Obstetric critical care
Himsweta Srivastava, Shilpa Singh, Sushil Srivastava, Neerja Goel. CONTRIBUTORY FACTORS FOR OBSTETRIC ICU ADMISSION: A PROSPECTIVE CROSS-SECTIONAL STUDY. Journal of Clinical and Diagnostic Research [serial online] 2019 August [cited: 2019 Aug 20 ]; 13:QC14-QC17. Available from
Date of Submission: Mar 24, 2019
Date of Peer Review: Apr 24, 2019
Date of Acceptance: Jun 24, 2019
Date of Publishing: Aug 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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