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Year 2014, Volume: 4 Issue: 1, 14 - 17, 27.07.2014

Semih Arıcı , Serkan Karaman Hatice Yılmaz Doğru Bülent Çakmak Hakan Tapar Tuğba Karaman Serkan Doğru Ziya Kaya

Abstract

Aim: The aim of this study is to retrospectively evaluate the obstetric cases who referred to intensive care unit, and define the frequency, cause and clinic outcomes of the patients. Material and Method: Demographic data, causes of reference, interventions in the intensive care and the outcomes of 15 obstetric cases in the pregnancy and postpartum period, whose referred to Gaziosmanpasa University Hospital Intensive Care Unit between 2007 and 2013 were included and retrospectively evaluated. Results: The frequency of patients who referred from another center to our intensive care unit was 10 (%66.6). The mean age of the patients was 28.80 ± 5.74. The mean hospital stay time was 3.20 ± 2.51. The most cause to refer into intensive care unit was postpartum hemorrhage. One of the cases was resulted in death. The mortality ratio was found as %6.7. Conclusion: In conclusion, the frequent cause of intensive care requirement of the obstetric cases were obstetric bleeding and uncontrolled hypertension. The maternal morbidity and mortality will be substantially decreased with advanced treatment modalities and maternal care before pregnancy.

Keywords

Pregnancy intensive care unit maternal mortality maternal morbidity

References

  • Lapinsky SE, Kruczynski K, Seaward GR et al. Critical care management of the obstetric patient. C J Anaesth 1997;44:325-9
  • Tripathi R, Rathore AM, Saran S. Intensive care for critically ill obstetric patients. Int J Gynaecol Obstet 2000;68:257-8
  • Baskett TF. Epidemiology of obstetric critical care . Best Practice & Research Clinical Obstetrics and Gynaecology 2008;22(5):763-774
  • Keleş GT, Topçu İ, Kefi A et al. Yoğun Bakım Ünitesinde obstetrik olgular. Fırat Tıp Dergisi 2006;11(1):62-5
  • Çevik SA. Yoğun Bakım Ünitesinde obstetrik olgular. Perinatoloji Dergisi 2011;19(3):118-22
  • Demirkıran O, Dikmen Y, Utku T et al. Critically ill obstetric patients in the obstetric intensive care unit. Int. J Obstet Anesth 2003;12:266-70
  • Mahutte NG, Murphy KL, Le Q et al. Obstetric admissions to the intensive care unit. Obstetric Gynecol 1999;94:263-6
  • Şimşek T, Eyigör C, Uyar M et al. Retrospective review of critically ill obstetrical patients: adecade’s experience. Turk J Med Sci 2011;41(6):1059-64
  • Okafor UV, Efetie ER Critical Care Obstetrics in a Developing Country. J Turkish-German Gynacol Assoc 2008;9(1):9-13
  • Bourjeily G, Miller M. Obstetric Disordesin the ICU. Clin Chest Med. 2009;30:89-102
  • Pollock W, Rose L, Dennis CL. Pregnant and postpartum admissions to the intensive care unit: a systematic review. İntensive care Med. 2010;36:1465-74
  • Leung NYW, Lau ACW, Chan KKC, Yan WW. Clinical characteristics and outcomes of obstetric patients admitted to the Intensive Care Unit: a 10 year retrospective review. Hong Kong Med J 2010;16:18-25
  • Bibi S, Memo A, Seikh JM et al. Severe acute maternal morbidity and intensive care in a public sector University Hospital of Pakistan. J Ayub Med Coll Abbottaabad 2008;20:109-112
  • Baskett TF, O’Connel CM. Maternal critical care in obstetrics. J Obstet Gynaecol Can 2009;31:218-21
  • Collop NA, Sahn SA. Critical illness in pregnancy. An analysis of 20 patients admitted to a medical intensive care unit. Chest 1993;103:1548-52
  • Nolan TE, Wakefield M, Devoe LD. Invasive hemodynamic monitoring in obstetrics. Acritical review of its indications, benefits, complications and alternatives. Chest 1992;101:1429-33
  • Karnad DR, Lapsia V, Krishnan A, Salvi VS. Prognostic factors in obstetric patients admitted to an Indian intensive care unit. Crit Care Med 2004;32:1294-9
  • El Sohl AA, Grant BJ. A compression of severity of illness scoring system for critically ill obstetric patients. Chest 1996; 10:1299-304
  • Mabie WC, Sibai BM. Treatment in an obstetric intensive care unit. Am J Obstet Gynaecol 1990; 162:1-4
  • Baskett TF, O’Connell CM. Severe Obstetric maternal morbidity: a 15 year population based study. J Obstet Gynaecol 2005; 25:7-9
  • Oladapo O, Adewale O, Sule OA et. al Near miss obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reproductive Health Journal 2005;2:9
  • Belfort M, Saade G, Foley M, Phealen J, Dildy G. Critical Care Obstetrics. In: Scott J, Foley M. 5th ed Philedelphia: Wiley and Blackwall; 2010

Multidisipliner Yoğun Bakım Ünitesinde Obstetrik Olgular: Retrospektıf Analiz

Year 2014, Volume: 4 Issue: 1, 14 - 17, 27.07.2014

Semih Arıcı , Serkan Karaman Hatice Yılmaz Doğru Bülent Çakmak Hakan Tapar Tuğba Karaman Serkan Doğru Ziya Kaya

Abstract

Amaç: Bu çalışmanın amacı, yoğun bakım ünitesine alınan obstetrik olguları retrospektif olarak değerlendirmek, yoğun bakım ünitesine kabul sıklığını, nedenlerini ve klinik sonuçlarını araştırmaktır.

Gereç ve Yöntem: Gaziosmanpaşa Üniversitesi Araştırma Hastanesi yoğun bakım ünitesine 2007-2013 yılları arasında gebe veya postpartum dönemde yatırılan 15 obstetrik olgunun retrospektif demografik verileri, kabul nedenleri, yoğun bakımda yapılan girişimleri ve sonuçları değerlendirmeye alınmıştır.

Bulgular: Dış merkezden yoğun bakım ünitemize sevk edilerek gelen hasta sayısı 10 (%66.6) idi. Olguların ortalama yaşı 28.80 ± 5.74’ dür. Yatış süreleri 3,20 ± 2,51 gündür. Yoğun bakım ünitesine kabulün en sık nedeni postpartum kanama idi. Olgulardan biri mortalite ile sonuçlandı. Mortalite oranı %6.7 olarak saptandı.

Sonuç: Sonuç olarak obstetrik hastaların yoğun bakıma ihtiyacı sıklıkla obstetrik kanama ve kontrol edilemeyen hipertansiyon nedeniyle olmaktadır. Geliştirilen düzenli tedavi ve gebelik öncesi bakım hizmetleri ile maternal mortalite ve morbidite belirgin oranda azalacaktır.

Keywords

Gebelik; yoğun bakım ünitesi; maternal mortalite; maternal morbidite

References

  • Lapinsky SE, Kruczynski K, Seaward GR et al. Critical care management of the obstetric patient. C J Anaesth 1997;44:325-9
  • Tripathi R, Rathore AM, Saran S. Intensive care for critically ill obstetric patients. Int J Gynaecol Obstet 2000;68:257-8
  • Baskett TF. Epidemiology of obstetric critical care . Best Practice & Research Clinical Obstetrics and Gynaecology 2008;22(5):763-774
  • Keleş GT, Topçu İ, Kefi A et al. Yoğun Bakım Ünitesinde obstetrik olgular. Fırat Tıp Dergisi 2006;11(1):62-5
  • Çevik SA. Yoğun Bakım Ünitesinde obstetrik olgular. Perinatoloji Dergisi 2011;19(3):118-22
  • Demirkıran O, Dikmen Y, Utku T et al. Critically ill obstetric patients in the obstetric intensive care unit. Int. J Obstet Anesth 2003;12:266-70
  • Mahutte NG, Murphy KL, Le Q et al. Obstetric admissions to the intensive care unit. Obstetric Gynecol 1999;94:263-6
  • Şimşek T, Eyigör C, Uyar M et al. Retrospective review of critically ill obstetrical patients: adecade’s experience. Turk J Med Sci 2011;41(6):1059-64
  • Okafor UV, Efetie ER Critical Care Obstetrics in a Developing Country. J Turkish-German Gynacol Assoc 2008;9(1):9-13
  • Bourjeily G, Miller M. Obstetric Disordesin the ICU. Clin Chest Med. 2009;30:89-102
  • Pollock W, Rose L, Dennis CL. Pregnant and postpartum admissions to the intensive care unit: a systematic review. İntensive care Med. 2010;36:1465-74
  • Leung NYW, Lau ACW, Chan KKC, Yan WW. Clinical characteristics and outcomes of obstetric patients admitted to the Intensive Care Unit: a 10 year retrospective review. Hong Kong Med J 2010;16:18-25
  • Bibi S, Memo A, Seikh JM et al. Severe acute maternal morbidity and intensive care in a public sector University Hospital of Pakistan. J Ayub Med Coll Abbottaabad 2008;20:109-112
  • Baskett TF, O’Connel CM. Maternal critical care in obstetrics. J Obstet Gynaecol Can 2009;31:218-21
  • Collop NA, Sahn SA. Critical illness in pregnancy. An analysis of 20 patients admitted to a medical intensive care unit. Chest 1993;103:1548-52
  • Nolan TE, Wakefield M, Devoe LD. Invasive hemodynamic monitoring in obstetrics. Acritical review of its indications, benefits, complications and alternatives. Chest 1992;101:1429-33
  • Karnad DR, Lapsia V, Krishnan A, Salvi VS. Prognostic factors in obstetric patients admitted to an Indian intensive care unit. Crit Care Med 2004;32:1294-9
  • El Sohl AA, Grant BJ. A compression of severity of illness scoring system for critically ill obstetric patients. Chest 1996; 10:1299-304
  • Mabie WC, Sibai BM. Treatment in an obstetric intensive care unit. Am J Obstet Gynaecol 1990; 162:1-4
  • Baskett TF, O’Connell CM. Severe Obstetric maternal morbidity: a 15 year population based study. J Obstet Gynaecol 2005; 25:7-9
  • Oladapo O, Adewale O, Sule OA et. al Near miss obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reproductive Health Journal 2005;2:9
  • Belfort M, Saade G, Foley M, Phealen J, Dildy G. Critical Care Obstetrics. In: Scott J, Foley M. 5th ed Philedelphia: Wiley and Blackwall; 2010
There are 22 citations in total.

Details

Primary Language Turkish
Journal Section Original Research
Authors

Semih Arıcı

Serkan Karaman This is me

Hatice Yılmaz Doğru This is me

Bülent Çakmak This is me

Hakan Tapar This is me

Tuğba Karaman This is me

Serkan Doğru This is me

Ziya Kaya This is me

Publication Date July 27, 2014
Published in Issue Year 2014 Volume: 4 Issue: 1

Cite

APA Arıcı, S., Karaman, S., Yılmaz Doğru, H., Çakmak, B., et al. (2014). Multidisipliner Yoğun Bakım Ünitesinde Obstetrik Olgular: Retrospektıf Analiz. Çağdaş Tıp Dergisi, 4(1), 14-17.
AMA Arıcı S, Karaman S, Yılmaz Doğru H, Çakmak B, Tapar H, Karaman T, Doğru S, Kaya Z. Multidisipliner Yoğun Bakım Ünitesinde Obstetrik Olgular: Retrospektıf Analiz. J Contemp Med. July 2014;4(1):14-17.
Chicago Arıcı, Semih, Serkan Karaman, Hatice Yılmaz Doğru, Bülent Çakmak, Hakan Tapar, Tuğba Karaman, Serkan Doğru, and Ziya Kaya. “Multidisipliner Yoğun Bakım Ünitesinde Obstetrik Olgular: Retrospektıf Analiz”. Çağdaş Tıp Dergisi 4, no. 1 (July 2014): 14-17.
EndNote Arıcı S, Karaman S, Yılmaz Doğru H, Çakmak B, Tapar H, Karaman T, Doğru S, Kaya Z (July 1, 2014) Multidisipliner Yoğun Bakım Ünitesinde Obstetrik Olgular: Retrospektıf Analiz. Çağdaş Tıp Dergisi 4 1 14–17.
IEEE S. Arıcı, S. Karaman, H. Yılmaz Doğru, B. Çakmak, H. Tapar, T. Karaman, S. Doğru, and Z. Kaya, “Multidisipliner Yoğun Bakım Ünitesinde Obstetrik Olgular: Retrospektıf Analiz”, J Contemp Med, vol. 4, no. 1, pp. 14–17, 2014.
ISNAD Arıcı, Semih et al. “Multidisipliner Yoğun Bakım Ünitesinde Obstetrik Olgular: Retrospektıf Analiz”. Çağdaş Tıp Dergisi 4/1 (July 2014), 14-17.
JAMA Arıcı S, Karaman S, Yılmaz Doğru H, Çakmak B, Tapar H, Karaman T, Doğru S, Kaya Z. Multidisipliner Yoğun Bakım Ünitesinde Obstetrik Olgular: Retrospektıf Analiz. J Contemp Med. 2014;4:14–17.
MLA Arıcı, Semih et al. “Multidisipliner Yoğun Bakım Ünitesinde Obstetrik Olgular: Retrospektıf Analiz”. Çağdaş Tıp Dergisi, vol. 4, no. 1, 2014, pp. 14-17.
Vancouver Arıcı S, Karaman S, Yılmaz Doğru H, Çakmak B, Tapar H, Karaman T, Doğru S, Kaya Z. Multidisipliner Yoğun Bakım Ünitesinde Obstetrik Olgular: Retrospektıf Analiz. J Contemp Med. 2014;4(1):14-7.