Maternal outcomes in critically ill obstetrics patients: A unique challenge Full Text
Indian Journal of Critical Care Medicine,

Bhadade R et al. – The findings suggest that prompt treatment with oseltamivir in H1N1 infection was associated with good maternal and fetal outcomes.

Methods
  • It is a prospective observational study, carried out in the MICU of a tertiary care teaching hospital over a period of 18months.
  • One hundred and twenty-two pregnant and postpartum females (up to 42days after delivery) were studied.

Results
  • Maternal age >30 years was associated with high mortality (68.2%).
  • Majority of the females were admitted in the third trimester (50 patients) and postpartum period (41 patients), and mortality was highest in the postpartum period (39%).
  • Increasing parity and gravida was associated with significantly high mortality (59.5%).
  • Acute viral hepatitis E (45 patients) was most common indication for MICU transfer, followed by malaria and pregnancy-induced hypertension.
  • The mortality rate was 30.3%.
  • The most common cause of death was acute viral hepatitis E (24 patients), with hepatic failure (53 patients) being the most common organ failure.
  • Majority of the females (88 patients) were ANC registered.
  • Low Glasgow coma score and high APACHE II score on admission were associated with significantly high mortality (85.2%).

Please login or register to follow this author.
► Click here to access Full Text, PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Obstetrics & Gynecology

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Obstetrics & Gynecology Articles

1 Effect of ginger (Zingiber officinale) on heavy menstrual bleeding: a placebo-controlled, randomized clinical trial Phytotherapy Research, October 13, 2014    Clinical Article

2 Pathologic findings at risk-reducing salpingo-oophorectomy: Primary Results From Gynecologic Oncology Group Trial GOG-0199 Journal of Clinical Oncology, September 19, 2014    Clinical Article

3 Anti-mullerian hormone as a diagnostic and prognostic tool for PCOS patients Journal of Assisted Reproduction and Genetics, August 22, 2014    Clinical Article

4 Egg consumption is associated with increased risk of ovarian cancer: Evidence from a meta-analysis of observational studies Clinical Nutrition, October 27, 2014    Evidence Based Medicine    Review Article

5 Abnormal blood biomarkers in early pregnancy are associated with preeclampsia: A meta-analysis European Journal of Obstetrics & Gynecology and Reproductive Biology, October 9, 2014    Evidence Based Medicine

6 Maternal caffeine intake during pregnancy is associated with risk of low birth weight: a systematic review and dose-response meta-analysis Full Text BMC Medicine, October 7, 2014    Free full text    Evidence Based Medicine    Clinical Article

7 Sequential use of mifepristone and misoprostol in treatment of early pregnancy failure appears more effective than misoprostol alone: A retrospective study European Journal of Obstetrics & Gynecology and Reproductive Biology, October 22, 2014    Clinical Article

8 3-Epi-25 hydroxyvitamin D in pregnancy Pregnancy Hypertension, October 10, 2014    Clinical Article

9 Egg consumption is associated with increased risk of ovarian cancer: Evidence from a meta-analysis of observational studies Clinical Nutrition, August 5, 2014    Evidence Based Medicine

10 Circadian disrupting exposures and breast cancer risk: a meta-analysis International Archives of Occupational & Environmental Health, October 15, 2014    Clinical Article

11 Markers of subclinical atherosclerosis in premenopausal women with vitamin D deficiency and effect of vitamin D replacement Atherosclerosis, October 29, 2014    Clinical Article

12 What differentiates symptomatic from asymptomatic women with lichen sclerosus Gynecologic and Obstetric Investigation, October 30, 2014    Clinical Article

13 Associations of maternal circulating 25-hydroxyvitamin D3 concentration with pregnancy and birth outcomes BJOG: An International Journal of Obstetrics and Gynaecology, September 22, 2014    Clinical Article

14 Laparoscopic surgery for distal tubal occlusions: Lessons learned from a historical series of 434 cases Fertility and Sterility, September 4, 2014    Clinical Article

15 Limited knowledge about folic acid and iodine nutrition in pregnant women reflected in supplementation practices Nutrition & Dietetics, October 3, 2014    Clinical Article

16 Dietary and lifestyle advice for pregnant women who are overweight or obese: The limit randomized trial Annals of Nutrition and Metabolism, October 17, 2014    Clinical Article

17 Stretch marks during pregnancy: A review of topical prevention British Journal of Dermatology, October 13, 2014    Review Article

18 The association between dietary factors and gestational hypertension and pre-eclampsia: A systematic review and meta-analysis of observational studies Full Text BMC Medicine, October 2, 2014    Free full text    Review Article

19 Fast food consumption and gestational diabetes incidence in the SUN project PLOS ONE, October 6, 2014    Clinical Article

20 Rectally administrated misoprostol as an alternative to intravenous oxytocin infusion for preventing post-partum hemorrhage after cesarean delivery Journal of Obstetrics and Gynaecology Research, September 29, 2014    Clinical Article

Indexed Journals in Obstetrics & Gynecology: Obstetrics and Gynecology, American Journal of Obstetrics and Gynecologymore