CritiCal illness in pregnanCy
نویسنده
چکیده
Critical illness in pregnancy increases maternal and fetal morbidity and mortality. The critical illness can be related to pregnancy per se, or can be secondary to a concurrent medical illness. Early identification and appropriate management results in good outcomes with a short ICU stay. Late identification and delayed therapy results in poor maternal & fetal outcomes with development of multiple complications. The altered physiology during pregnancy and lack of familiarity of most practitioners with pregnancy related illnesses is a major hurdle in the pursuit for early identification & definitive management. Moreover a treatment deemed beneficial for the mother may adversely affect the fetus and vice-versa. The overall prevalence of obstetric patients who may require critical care during pregnancy ranges from 1 – 9 in 1000 gestations.1, 2 The maternal mortality due to critical illness is 12 – 20%, but varies significantly between developing and developed countries (440/100000 deliveries in India vs. 12/100000 deliveries in USA).3,4 Hypertensive diseases of pregnancy and obstetric shock remain the leading cause of death in pregnancy.5
منابع مشابه
Clinical review: Special populations - critical illness and pregnancy
Critical illness is an uncommon but potentially devastating complication of pregnancy. The majority of pregnancy-related critical care admissions occur postpartum. Antenatally, the pregnant patient is more likely to be admitted with diseases non-specific to pregnancy, such as pneumonia. Pregnancy-specific diseases resulting in ICU admission include obstetric hemorrhage, pre-eclampsia/eclampsia,...
متن کاملCritical illness in pregnancy: an overview.
OBJECTIVES To provide an overview of the critical illnesses that afflict the pregnant patient. DESIGN A comprehensive review of the literature was performed with Pubmed Medline using medical subject headings of pregnancy, critical care, epidemiology, prognostic score, dyspnea, fever, and jaundice. RESULTS Although pregnant women constitute a small number of admissions to an intensive care u...
متن کاملScientific Reviews Critical illness in pregnancy: An overview
Critically ill obstetric patients are significantly different from the average patient admitted to the medical intensive care unit (ICU). They present a challenge to the critical care physician due to their unique physiology and the specific medical disorders that occur during pregnancy and the peripartum period. The physiologic changes that occur in the pregnant state in several systems, inclu...
متن کاملPhysiologic changes in pregnancy and their impact on critical care.
OBJECTIVES To describe the major pregnancy-induced physiologic changes that affect the care of patients who are critically ill. METHODS We reviewed relevant textbooks and articles pertaining to physiologic alterations produced by pregnancy. Those changes that have a bearing on patients admitted to an intensive care unit were abstracted, summarized, and organized by organ system. CONCLUSIONS...
متن کاملCritical care in pregnancy
Childbirth is a major event in the lives of mothers and their families. Critical illness in pregnancy is uncommon but may arise from conditions unique to pregnancy, conditions exacerbated by pregnancy and coincidental conditions. According to the latest Confidential Enquiry into Maternal Deaths in the UK, haemorrhage remains a leading direct cause of mortality; however, there has been an increa...
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