Objective: In a critically ill obstetric patient (COP), there is an exacerbation of both a pre-pregnancy disease and newly emerging additional diseases during and after pregnancy. There is limited data on COP follow-up in our country. The aim of this retrospective study was to evaluate the COP that we have followed in our intensive care unit (ICU) in the last 10 years, to investigate the frequency and the reasons of admission to the ICU, the factors affecting outcomes and mortality.
Materials and Methods: Our study was planned retrospectively on COPs who were followed-up in the ICU of Bagcilar Training and Research Hospital between 2011-2021.
Results: A total of 220 patients aged 18-50 years who were diagnosed as COP were included into the study. The most frequent admission type to the ICU was after Caeserian Section (n=129,58.6%) and most frequent indication was obstetric hemorrhage (n=56, 25.4%). The average length of stay in the ICU was 2 days (3.5±4), the duration of hospitalization was 6 days (9.1±7.9), the rate of discharge from the ICU was 95.5%, and mortality rate was 4.5%. In our study 4 patients died due to septic shock, 3 patients died duo to cardiovascular co-morbidity, 2 patients with Disseminated intravascular coagulation (DIC) and 1 patient due to the complications of pregnancy related hypertension. Gestational age was lower (p
Key words: Critically ill obstetric patient, maternal mortality, intensive care unit
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