Admissions to Intensive Care Unit in Pregnancy – A Six Year Experience

Alina Weissmann-Brenner1,2*, Haiman Shimrit1,2, Rosenblat Orgad1,2 and Barzilay Eran1,2

1Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Israel
2Department of Medicine, Tel Aviv University, Israel

^*Correspondance to: Alina Weissmann-Brenner 

 PDF  Full Text DOI: 10.25107/2474-1647.2725

Abstract

Purpose: To characterize obstetric patients admitted to the Intensive-Care-Unit (ICU) during pregnancy and delivery, and to compare them to control pregnancies. Methods: A retrospective study on all pregnancies delivered between 2011 and 2016 and admitted to the cardiac and general ICU was conducted. Variables assessed included maternal characteristics, data regarding delivery and data from ICU. Results: Seventy three patients (0.096%) were admitted to the general (n=42) and cardiac (n=31) ICU during pregnancy or immediately following delivery. The mean gestational-age at delivery was 36.1 weeks. 79.5% delivered by cesarean-section. The main causes of admissions during pregnancy were hypertensive disorders, while following delivery were cardiovascular, infectious and bleeding disorders. Significantly more patients in the general-ICU needed mechanical-ventilation compared to the patients in the cardiac-ICU. Hospitalization in the general-ICU was significantly longer than in the cardiac-ICU (p=0.004). No significant differences were found between pre-partum and postpartum patients in their admission to the general-ICU compared to the cardiac-ICU. There were four cases of neonatal deaths (5.5%). There were no differences in the neonatal outcomes between the patients admitted in the general-ICU and the cardiac-ICU. Conclusion: Rapid administration of treatment and coordinated multidisciplinary management may improve the clinical outcome of these high-risk populations.

Keywords

Intensive care unit; Pregnancy; Cardiac; Cesarean section

Cite the article

Weissmann-Brenner A, Shimrit H, Orgad R, Eran B. Admissions to Intensive Care Unit in Pregnancy – A Six Year Experience. Clin Surg. 2020; 5: 2725..