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Obstetric admissions to the intensive care unit: A seven year review at Aminu Kano Teaching Hospital Kano, Nigeria
Abstract
Background: Worldwide obstetric admission into the intensive care unit is rare.
Objective: To determine the indications and outcomes of Obstetric ICU admission.
Study design, setting and subject: Retrospective descriptive study involving 15 obstetric cases admitted into the ICU of Aminu Kano Teaching Hospital, from 1st January 2002 to December 31st 2008.
Results: The total number of deliveries during the period of study was 20,560 and fifteen (15) of these were admitted into the ICU (0.073%). The age of the patients ranged between 16 and 43 years with a mean age of 27.2 ±7.9 years. The parity ranged from 1 to 5 with a mean of 2.4 ±1.7. Eighty percent of the admissions were postpartum. The main indications for admission in this study were Eclampsia (53.3%), pulmonary embolism (20%) and severe haemorrhage from ruptured uterus (13.3%). Only two (13.3%) of the patients received ante-natal care. Four patients died, giving a mortality rate of 26.7%.
Conclusion: Eclampsia was the leading indication for obstetric admission into the ICU. This may be reduced by appropriate management of hypertensive diseases in pregnancy and public enlightenment on the importance of ante-natal care and hospital delivery.
