Publication: A Study on Obstetric Intensive Care in Dhulikhel Hospital, Kathmandu University Hospital
Date
2017
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Maternal mortality ratio in developing countries is high, depending upon the country
and region. Many programmes have been launched in different parts of the world
like “Safe motherhood Initiatives” under the WHO guidance. An alternative indicator
of obstetric health care is obstetric transfer to an intensive care unit. Very few have
been reported from developing countries in South East Asia.
Objective
To determine the intensive care unit (ICU) utilization by critically ill obstetric patients
and to see the spectrum and outcome of disease.
Method
A prospective study performed on obstetric patients admitted to the intensive care
unit of Kathmandu university hospital during a five year period (1st January 2010- 31st
December 2015). A total of 56 patients were studied.
Result
The main cause of admission was hypertensive disorder in pregnancy (22 patients),
bleeding disorders in pregnancy (18 patients), sepsis (8 patients), heart disease
complicating the pregnancy (4 patients) and 4 others with respiratory problems
encountered during delivery. These are the important causes of maternal mortality
and morbidity.
Conclusion
In this study obstetric patients form a small percentage of the total patients admitted
to ICU and majority of them were with preventable aetiology. In order to decrease
the maternal mortality in developing countries better primary health care and
efficient referral system is recommended.
KEY WORDS
Developing countries, Intensive care unit, Maternal morbidity, Maternal mortality,
Obstetric patients
Description
Shrestha A, Kayastha B, Kayastha S
Department of Obstetrics and Gynecology
Dhulikhel Hospial, Kathmandu University Hospital
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
Keywords
Developing countries, Intensive care unit, Maternal morbidity, Maternal mortality, Obstetric patients