“A STUDY OF CLINICAL PROFILE AND FETOMATERNAL OUTCOME OF OBSTETRIC
PATIENTS ADMITTED TO INTENSIVE CARE UNIT”: A Prospective hospital-based
study
Abstract
Objectives: To study clinical profile of obstetric patients admitted to
intensive care unit and to analyze the relation of demographic factors
like age, parity, literacy level, socio economic status, APACHE 2 score
and level of delay with fetomaternal outcome. Design: Prospective Cross
sectional Observational Setting and Population: Obstetric Admissions to
ICU of tertiary hospital in North India Methods: After admission to ICU
a detailed history, analysis of basic demographic variables along with
level of delay was done. APACHE II score was calculated. These
parameters were correlated with fetomaternal outcome. The Chi-square
test was used to compare categorical variables. The one-way analysis of
variance was used to compare the continuous variables among the strata
with Tukey’s post hoc test. Outcome: Prolonged ICU stay, maternal
mortality, perinatal morbidity, perinatal mortality and long hospital
stay. Results: Incidence of obstetric ICU admission was 0.77%. Mean age
was 26.03years. Most common indication of ICU admission was obstetrical
hemorrhage (37.1%) followed by hypertensive disorders of pregnancy
(25.8%). Type 1 delay was the most common followed by type 2 delay.
Mean APACHE II score was 14.77±6.85. Observed mortality rate (30.6%)
was found to be higher than predicted mortality rate (25%). APACHE II
score was significantly high in the presence of level 1 (p=0.003) and
level 2 delay (p=0.0001). Also, it was significantly increased with the
duration of delays. Conclusion: Unbooked and referred cases had high
incidence of ICU admission. Presence of delay was associated with poor
outcome