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Revista del Nacional (Itauguá)

versión impresa ISSN 2072-8174

Resumen

ZORRILLA, Andrea Diana  y  SEGOVIA, María Raquel. Admission of women to an intensive care unit during pregnancy or the postpartum period. Rev. Nac. (Itauguá) [online]. 2017, vol.9, n.1, pp.49-60. ISSN 2072-8174.  https://doi.org/10.18004/rdn2017.0009.01.049-060.

Introduction:

complications of pregnancy and childbirth are the main causes of death among women of childbearing age. Pregnant women or postpartum women entering the Intensive Care Unit (ICU) are mostly acute cases with a high risk of death, which require specialized and complex treatment. They constitute a significant group of obstetric practice.

Objective:

to determine the clinical and demographic characteristics of the pregnant or puerperal patients who entered the ICU of the National Hospital of Itauguá for 5 years (2011-2015)

Materials and methods:

descriptive observational cross-sectional design. Pregnant women and postpartum women who required admission to the ICU due to obstetric and non-obstetric complications, maternal decompensation, with and without prior morbidity were included.

Results:

135 patients required admission to the ICU. The mean age was 27 ± 6.7 years. The sample consisted of 21 pregnant women (15.5%), 85 postpartum women (63%), 27 women with post abortion (20%) and 2 with ectopic pregnancy (1.5%). The most frequent obstetric complication that led to ICU admission was sepsis and non-obstetric heart disease was decompensated. The mean ICU admission time was 6.47 ± 8.5 days and 50 patients (37.03%) required mechanical ventilation. There were 19 deaths (14%)

Conclusions:

ICU admission was observed at 0.48%. Mortality in ICU was 14%.

Palabras clave : morbidity; mortality; eclampsia; critical care.

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