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  • Title: Obstetric intensive care admissions: a 12-year review in a tertiary care centre.
    Author: Keizer JL, Zwart JJ, Meerman RH, Harinck BI, Feuth HD, van Roosmalen J.
    Journal: Eur J Obstet Gynecol Reprod Biol; 2006; 128(1-2):152-6. PubMed ID: 16443319.
    Abstract:
    OBJECTIVE: To review all pregnant women who required admission to an Intensive Care Unit (ICU) during pregnancy, childbirth or puerperium. STUDY DESIGN: Retrospective follow-up study in a tertiary care centre in The Netherlands. The files of all obstetric ICU admissions over the period 1990-2001 were reviewed. RESULTS: Over these 12 years, 142 women required ICU admission (0.76% of all deliveries, 0.70% of all adult ICU admissions). The most common reasons for ICU admission were (pre)eclampsia (62.0%) and obstetric haemorrhage (18.3%). Twenty-seven out of 142 women (19.0%) were of non-caucasian origin. The most common therapeutic interventions were transfusion of erythrocytes (66.2%), caesarean section (50.7%) and artificial ventilation (44.4%). We observed seven maternal deaths (4.9%). CONCLUSION: We need better information about high-risk obstetric patients in order to prevent severe maternal morbidity and to improve maternal care. The high number of non-caucasian women requiring ICU admission indicates the need for a study into the role of ethnicity. We have initiated a nationwide confidential enquiry into the causes of severe maternal morbidity.
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