Hemorrhage is the leading cause of intensive care unit admission and one of the leading causes of death in the obstetric population. This emphasizes the importance of a working knowledge of the indications for and complications associated with blood product replacement in obstetric practice. This article provides current information regarding preparation for and administration of blood products...

OBJECTIVE To evaluate the capacity of health facilities in Southern Province, Zambia, to perform routine obstetric care and emergency obstetric and neonatal care (EmONC). METHODS Surveys were completed at 90 health centers and 10 hospitals between September 1, 2011, and February 28, 2012. An expanded set of signal functions for routine care and EmONC was used to assess the facilities' capacit...

OBJECTIVE To determine the nature and outcome of obstetric cholestasis in a United Kingdom population. DESIGN Prospective analysis of clinical outcome in women diagnosed with obstetric cholestasis that is actively managed. SETTING Antenatal population of three London hospitals between August 1999 and April 2001. POPULATION Seventy women with obstetric cholestasis defined as abnormal liver...

Only one study has examined the clinical issues presented by critically ill obstetric patients with respect to medical indications for intensive care unit (ICU) admission and fetal and maternal morbidity and mortality. Therefore, a review of all obstetric patients admitted to a medical-surgical ICU in a large tertiary referral center over a five-year period was conducted. Obstetric, ICU-related...

Background Care of obstetric patients has always been a challenge for critical care physicians, because in addition to their complex pregnancy-related disease, fetal viability is considered. Objectives The aim of this study was to review the admission indications, clinical characteristics and outcomes of obstetric patients, admitted to the intensive care unit of Alzzahra teaching hospital aff...

Emergency obstetric hysterectomy (EOH) is one of the life saving procedure performed in gravid uterus or immediate postabortal or postpartum period in cases of intractable hemorrhage due to uterine atony, rupture uterus, placental disorders, uterine perforation and septic abortion. The procedure is usually reserved for the situations where conservative measures fail to control hemorrhage. Obste...

BACKGROUND Maternal mortality in Sub-Saharan Africa remains a challenge with estimates exceeding 1,000 maternal deaths per 100,000 live births in some countries. Successful prevention of maternal deaths hinges on adequate and quality emergency obstetric care. In addition to skilled personnel, there is need for a supportive environment in terms of essential drugs and supplies, equipment, and a r...