Severe Maternal Morbidity Cases in Israel in a High-Volume High-Resource Referral Center: A Retrospective Cohort Study.
Adult
Critical Care
/ methods
Female
Humans
Intensive Care Units
Israel
/ epidemiology
Maternal Health Services
/ statistics & numerical data
Postnatal Care
/ methods
Pregnancy
Pregnancy Complications
/ epidemiology
Prevalence
Puerperal Disorders
/ epidemiology
Referral and Consultation
/ statistics & numerical data
Retrospective Studies
Risk Factors
Journal
The Israel Medical Association journal : IMAJ
ISSN: 1565-1088
Titre abrégé: Isr Med Assoc J
Pays: Israel
ID NLM: 100930740
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
entrez:
10
3
2020
pubmed:
10
3
2020
medline:
18
3
2020
Statut:
ppublish
Résumé
Admission to an intensive care unit (ICU) is an objective marker of severe maternal morbidity (SMM). To determine the prevalence of obstetric ICU admissions in one medical center in Israel and to characterize this population. In this retrospective study the files of women coded for pregnancy, birth, or the perinatal period and admission to the ICU were pulled for data extraction (2005-2013). During the study period, 111 women were admitted to the ICU among 120,279 women who delivered babies (0.09%). Their average age was 30 ± 6 years, most were multigravida, a few had undergone fertility treatments, and only 27% had complicated previous pregnancies. Most pregnancies (71.2%) were uneventful prior to admission. ICU admissions were divided equally between direct (usually hemorrhage) and indirect (usually cardiac disease) obstetric causes. The indications for obstetrics ICU admission correlated with the proximate causes of maternal arrest observed worldwide. While obstetric hemorrhage is often unpredictable, deterioration of heart disease is foreseeable. Attention should be directed specifically toward improving the diagnosis and treatment of maternal heart disease during pregnancy in Israel.
Sections du résumé
BACKGROUND
BACKGROUND
Admission to an intensive care unit (ICU) is an objective marker of severe maternal morbidity (SMM).
OBJECTIVES
OBJECTIVE
To determine the prevalence of obstetric ICU admissions in one medical center in Israel and to characterize this population.
METHODS
METHODS
In this retrospective study the files of women coded for pregnancy, birth, or the perinatal period and admission to the ICU were pulled for data extraction (2005-2013).
RESULTS
RESULTS
During the study period, 111 women were admitted to the ICU among 120,279 women who delivered babies (0.09%). Their average age was 30 ± 6 years, most were multigravida, a few had undergone fertility treatments, and only 27% had complicated previous pregnancies. Most pregnancies (71.2%) were uneventful prior to admission. ICU admissions were divided equally between direct (usually hemorrhage) and indirect (usually cardiac disease) obstetric causes.
CONCLUSIONS
CONCLUSIONS
The indications for obstetrics ICU admission correlated with the proximate causes of maternal arrest observed worldwide. While obstetric hemorrhage is often unpredictable, deterioration of heart disease is foreseeable. Attention should be directed specifically toward improving the diagnosis and treatment of maternal heart disease during pregnancy in Israel.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM