Frequency and Outcomes of Eclamptic Patients Shifted to Intensive Care Unit
Sehrish Khan, Amber Abbasi, Saira Talpur, Shazia Awan, Khalida Avesi, Noreen Rasul
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ABSTRACT
Objective: To determine the frequency of eclamptic patients admitted to a tertiary
care hospital's intensive care unit and their outcomes.
Patient and
Methods: This was descriptive case series study and
was took place at the civic Hospital Hyderabad's gynecology and obstetrics
department for a year, from August 2015 to July 2016. This study comprised 85
extremely suffered eclamptic women who were admitted to the labour room
and later transferred to the ICU. All the demographic information
including maternal complications and mortality were gathered using a
pre-made proforma.
Results: A total of 85 extremely unwell eclamptic women who were admitted to
the obstetrics/gynecology department and subsequently transferred to the
intensive care unit were studied. The patients' average age was 30.543.66
years. Most of the women 59(69.41%) were multiparous. Regarding the
intervention required in ICU, (68.24%) women were on mechanical ventilation,
(58.82%) were on inotropic support, blood transfusions were required in 23 of
85(27%) women. Renal failure was found in 35.29% women, disseminated
intravascular coagulation (DIC) was in 30.59% women, and multiple blood
transfusion were required in 40% cases and rate of mortality was 20%.
Conclusion: Maternal complications and mortality rate were observed to be
higher among eclamptic women. It causes a lot of maternal and perinatal
morbidity and death. As a result, we might conclude that our health-care system
lacks the necessary resources to provide our expecting mothers with proper
antenatal care.
Key words: Eclampsia,
ICU, outcome
ABSTRACT
Objective: To determine the frequency of eclamptic patients admitted to a tertiary
care hospital's intensive care unit and their outcomes.
Patient and
Methods: This was descriptive case series study and
was took place at the civic Hospital Hyderabad's gynecology and obstetrics
department for a year, from August 2015 to July 2016. This study comprised 85
extremely suffered eclamptic women who were admitted to the labour room
and later transferred to the ICU. All the demographic information
including maternal complications and mortality were gathered using a
pre-made proforma.
Results: A total of 85 extremely unwell eclamptic women who were admitted to
the obstetrics/gynecology department and subsequently transferred to the
intensive care unit were studied. The patients' average age was 30.543.66
years. Most of the women 59(69.41%) were multiparous. Regarding the
intervention required in ICU, (68.24%) women were on mechanical ventilation,
(58.82%) were on inotropic support, blood transfusions were required in 23 of
85(27%) women. Renal failure was found in 35.29% women, disseminated
intravascular coagulation (DIC) was in 30.59% women, and multiple blood
transfusion were required in 40% cases and rate of mortality was 20%.
Conclusion: Maternal complications and mortality rate were observed to be
higher among eclamptic women. It causes a lot of maternal and perinatal
morbidity and death. As a result, we might conclude that our health-care system
lacks the necessary resources to provide our expecting mothers with proper
antenatal care.
Key words: Eclampsia,
ICU, outcome