Critical care in pregnancy
نویسندگان
چکیده
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 increase in mortality due to indirect causes. The obstetric population has changed over the past decade and we are caring for much older mothers with pre-existing disorders and advanced chronic medical conditions. It is therefore essential to adopt an early multidisciplinary approach for the care of these women. With birth rates increasing, complex caseloads and changes in training of both medical and midwifery staff, the challenge of caring for critically ill obstetric patients requires urgent attention.
منابع مشابه
Physiologic 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 کاملAcute renal failure in pregnancy.
OBJECTIVES To provide an evidence-based, up-to-date review of the literature regarding the assessment and management of acute renal failure that may affect women during pregnancy and the postpartum period. DESIGN A review of the current literature was performed. RESULTS Acute renal failure is a rare complication of pregnancy but is associated with significant morbidity and mortality. Manage...
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 کاملاثر بخشی مراقبت های بهداشتی از زنان باردار در نظام سلامت ایران
Background and Aim: One of the most important objectives of millennium development goals of World Health Organization is promotion of mothers’ health. Pregnancy is one of the most critical and important periods in woman's life. The main objective of this study was to survey the effectiveness of health services for mothers in Iran health system in dimensions of change in health status of women...
متن کاملComparing the educational effect based on critical thinking and routine approaches on skills to manage of pre-eclampsia and persistence of knowledge of midwifery students
BACKGROUND AND OBJECTIVE: Preeclampsia is a special syndrome of pregnancy and common cause of mothersﹸdeath associated with delay in diagnosis and nursing staff’s inappropriate control. The current study was carried out to compare the effect of training on method based on critical thinking and traditional education on maintenance of knowledge level and clinical skill of controlling preeclampsia...
متن کاملObstetric Disorders in the ICU.
Pregnant and postpartum patients represent a challenge to critical care physicians, as two patients in one have to be cared for and because specific obstetric disorders, not universally covered in formal critical care training, need to be managed. Pregnancy also alters physiologic norms, so that the critical care physician may either fail to recognize a value as abnormal in pregnancy or mistake...
متن کامل