OBJECTIVE: The purpose of this study was to describe our 2-year experience with 483 critically ill peripartum women and to propose a blueprint for obstetric critical care. STUDY DESIGN: This was a prospective study to evaluate all admissions to the Obstetric Intermediate Care Unit and obstetric admissions to medical/surgical intensive care units. Our findings are followed by general recommendations for the organization of obstetric critical care. RESULTS: Almost two thirds of the women had obstetric complications that included pregnancy-associated hypertension and obstetric hemorrhage. Medical disorders were most common in the other one third of the women. CONCLUSION: An Obstetric Intermediate Care Unit allows for the continuation of care by obstetricians and results in fewer transfers to medical/surgical intensive care units. Patient treatment depends on hospital size and available resources. In most tertiary centers, the critically ill pregnant woman is best cared for by obstetricians in an Obstetric Intermediate Care Unit. In smaller hospitals, transfer to a medical or surgical intensive care unit may be preferable.
OBJECTIVE: The purpose of this study was to describe our 2-year experience with 483 critically ill peripartum women and to propose a blueprint for obstetric critical care. STUDY DESIGN: This was a prospective study to evaluate all admissions to the Obstetric Intermediate Care Unit and obstetric admissions to medical/surgical intensive care units. Our findings are followed by general recommendations for the organization of obstetric critical care. RESULTS: Almost two thirds of the women had obstetric complications that included pregnancy-associated hypertension and obstetric hemorrhage. Medical disorders were most common in the other one third of the women. CONCLUSION: An Obstetric Intermediate Care Unit allows for the continuation of care by obstetricians and results in fewer transfers to medical/surgical intensive care units. Patient treatment depends on hospital size and available resources. In most tertiary centers, the critically ill pregnant woman is best cared for by obstetricians in an Obstetric Intermediate Care Unit. In smaller hospitals, transfer to a medical or surgical intensive care unit may be preferable.
Authors: Shali Mazaki-Tovi; Roberto Romero; Edi Vaisbuch; Tinnakorn Chaiworapongsa; Offer Erez; Pooja Mittal; Sun Kwon Kim; Francesca Gotsch; Ronald Lamont; Giovanna Ogge; Percy Pacora; Luis Goncalves; Chong Jai Kim; Ricardo Gomez; Jimmy Espinoza; Sonia S Hassan; Juan Pedro Kusanovic Journal: J Perinat Med Date: 2010 Impact factor: 1.901
Authors: Claudia Marotta; Luigi Pisani; Francesco Di Gennaro; Francesco Cavallin; Sarjoh Bah; Vincenzo Pisani; Rashan Haniffa; Abi Beane; Daniele Trevisanuto; Eva Hanciles; Marcus J Schultz; Michael M Koroma; Giovanni Putoto Journal: Am J Trop Med Hyg Date: 2020-11 Impact factor: 2.345
Authors: José G Cecatti; João P Souza; Antonio F Oliveira Neto; Mary A Parpinelli; Maria H Sousa; Lale Say; Robert C Pattinson Journal: Reprod Health Date: 2011-08-02 Impact factor: 3.223
Authors: Joost J Zwart; Just R O Dupuis; Annemiek Richters; Ferko Ory; Jos van Roosmalen Journal: Intensive Care Med Date: 2009-11-10 Impact factor: 17.440