Intensive care management and outcome of women with hypertensive diseases of pregnancy

Nigerian Medical Journal : Journal of the Nigeria Medical Association
C O Imarengiaye, Theodore Ojeide Isesele

Abstract

The burden of hypertensive diseases on the health care is enormous given to the high population in Sub-Saharan Africa and related disproportionate representation in global maternal mortality. All women with hypertensive diseases of pregnancy who got admitted into the general ICU of the University of Benin Teaching Hospital between January 2006 and December 2010 were studied. Only the records of women who completed 28 weeks of gestation and were admitted during labour and delivery or puerperium to the ICU were examined. There were 13061 deliveries within the 5-year study period; 9301 by vaginal delivery and 3860 through Caesarean section. 52 (51.5%) of the obstetric patients had hypertensive diseases of pregnancy. Of 52 women with pre-eclampsia and eclampsia, 45/52 had caesarean section and 7/52 had SVD. Admission was mainly postpartum 48/52 (92.3%). 35/52 (67.3%) were transferred to the ward and 17 died (32.7%), giving the ICU maternal mortality rate of 307/1000 deliveries. 30 women developed pulmonary oedema alone or with renal impairment; 14 women were transferred and 16 died while 21 other patients who had renal impairment alone, HELLP, sepsis, etc were transferred out. There was about a 12-fold risk of death in the unit if ...Continue Reading

References

Jun 1, 1985·American Journal of Obstetrics and Gynecology·T J BenedettiV Williams
May 15, 1984·American Journal of Obstetrics and Gynecology·D B CottonK F Dorman
Aug 1, 1995·American Journal of Respiratory and Critical Care Medicine·S E LapinskyA S Slutsky
Mar 1, 1997·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S E LapinskyR F Grossman
Nov 10, 2000·Lancet·J J Walker
Apr 24, 2001·American Journal of Respiratory and Critical Care Medicine·L A Campbell, R A Klocke
Mar 15, 2003·Obstetrics and Gynecology·Anthony C SciscioneGarrett H C Colmorgen
Feb 3, 2005·Obstetrics and Gynecology·Baha M Sibai
Jun 17, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·D J TuffnellUNKNOWN Yorkshire Obstetric Critical Care Group
Apr 4, 2006·Lancet·Khalid S KhanPaul Fa Van Look
Jul 19, 2006·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·G O Igberase, P N Ebeigbe
Jul 10, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·M Knight, UNKNOWN UKOSS
Nov 11, 2009·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Charlene E ThorntonAnnemarie Hennessy
Jan 28, 2012·Seminars in Perinatology·Labib Ghulmiyyah, Baha Sibai
Dec 12, 2013·Nigerian Journal of Clinical Practice·E C EzugwuF O Ezugwu
Oct 10, 2014·Nigerian Medical Journal : Journal of the Nigeria Medical Association·Swati SinghNwobodo Emmanuel Ikechukwu

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Citations

Nov 20, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Phuong Lien TranMalik Boukerrou

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Methods Mentioned

BETA
cesarean section

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