Prospective Study Of The Obstetrical Patients In Intensive Care Units And Maternal Outcome In Terms Of Maternal Mortality

BACKGROUNDThe aim of this study is to study ICU admission in obstetrical patients and outcome in terms of maternal mortality and morbidity.MATERIALS AND METHODSProspective observational study conducted over 20-month period from 01/01/15 -31/08/16.RESULTSIn our study 8% patients required ICU, but 5.8% of the total obstetric patients were admitted in ICU. Both haemorrhage (32%) and hypertensive disorders (31%) were leading causes among low general condition patients. Majority of the critically ill patients (Group B and C) had longer duration of stay, i.e. > 10 days. Mortalities in Group B and C were 39% and 22%, respectively.CONCLUSIONTo avoid first and second delay apart from winning over socio-demographic factors, better implementation of Government Programmes like ASHA Bahu under NRHM is essential for saving critically ill obstetrical patients. To avoid third delay, i.e. delay in receiving appropriate care: High Dependency Units (HDU) should be established to avoid unnecessary consumption of ICU resources. On the other hand, ICUs facilities should also be upgraded to suffice the requirements for treating critically ill patients. Indeed, filling these small pitfalls can go a long way in saving our critically ill patients.