title: Predictors and outcome of obstetric admissions to intensive care unit: A comparative study.
abstract: This descriptive observational study was carried out in Guru Teg Bahadur Hospital to identify predictors and outcome of obstetric admission to Intensive Care Unit (ICU). Ninety consecutive pregnant patients or those up to 42 days of termination of pregnancy admitted to ICU from October 2010 to December 2011 were enrolled as study subjects with selection of a suitable comparison group. Qualitative statistics of both groups were compared using Pearson's Chi-square test and Fisher's exact test. Odds ratio was calculated for significant factors. Low socioeconomic status, duration of complaints more than 12 h, delay at intermediary facility, and peripartum hysterectomy increased probability of admission to ICU. High incidence of obstetric admissions to ICU as compared to other countries stresses on need for separate obstetric ICU. Availability of high dependency unit can decrease preload to ICU by 5%. Patients with hemorrhagic disorders and those undergoing peripartum hysterectomy need more intensive care.
authors.affiliation: Senior Resident, Department of Obstetrics and Gynaecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.
authors.forename: Shruti
authors.initials: S
authors.lastname: Jain
authors.affiliation: Professor, Department of Obstetrics and Gynaecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.
authors.forename: Kiran
authors.initials: K
authors.lastname: Guleria
authors.affiliation: Director Professor, Department of Obstetrics and Gynaecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.
authors.forename: Neelam B
authors.initials: NB
authors.lastname: Vaid
authors.affiliation: Professor, Department of Obstetrics and Gynaecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.
authors.forename: Amita
authors.initials: A
authors.lastname: Suneja
authors.affiliation: Professor, Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.
authors.forename: Sharmila
authors.initials: S
authors.lastname: Ahuja
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy; D015994:Incidence; D007194:India; D007362:Intensive Care Units; D009774:Obstetrics; D010343:Patient Admission; D006473:Postpartum Hemorrhage; D011247:Pregnancy; D012189:Retrospective Studies