2024, Number 10
Clinical characteristics of critical obstetric patients
Galindo CLM, López GD, Martínez MDG, Lorca JG, García GA, Tapia VM
Full text
Language: Spanish
References: 11
Page: 422-426
PDF size: 178.90 Kb.
ABSTRACT
Objective: To describe the characteristics of obstetric patients admitted to an intensive care unit.Materials and Methods: Descriptive and retrospective study conducted at the General Hospital of the Instituto Mexicano del Seguro Social Puebla, Mexico, in obstetric patients admitted during the year 2023. All records of obstetric patients admitted to the Intensive Care Unit were included. The information obtained was analyzed using SPSS for IBM v.25.
Results: We reviewed 137 patient records with a mean age of 29.04 years (SD ± 5.87); 94 of them were multiparous, 16 with ectopic pregnancy and 90 with adequate prenatal control. The most common past medical history was arterial hypertension, followed by hypothyroidism and type 2 diabetes mellitus. One patient had hypothyroidism and systemic lupus erythematosus. As for the diagnosis of ICU admission, 46 patients were admitted for obstetric hemorrhage, 32 for pre-eclampsia with severity criteria, 23 for atypical pneumonia due to SARS CoV-2, 10 for HELLP syndrome, and 1 for glycemic uncontrolled and severe cranioencephalic trauma.
Conclusions: Intensive care is the best option for managing patients with obstetric hemorrhage is the best option to avoid major complications and thus reduce the incidence of maternal death from this cause. Although the sample studied was not large enough to draw definitive conclusions, the results of the study confirm what has been asserted in the literature in similar studies.
REFERENCES
González del Castillo J, Julián-Jiménez A, Candel FJ, Serviciode Urgencias. IdISSC. Hospital Clínico San Carlos. Madrid,Spain. Community-acquired pneumonia: selection ofempirical treatment and sequential therapy. SARS-CoV-2implications. Rev Esp Quimioter 2021; 34 (6): 599-609.http://dx.doi.org/10.37201/req/144.2021