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Intensive care unit admissions during the puerperium in Ibadan
Abstract
Objective: This study sought the indications and outcome of critically ill obstetric patients admitted into the intensive care unit (ICU) of the University College Hospital (UCH), Ibadan, Nigeria in the year 2001.
Study Design, setting and subjects: Descriptive study involving 21patients admitted into the ICU, University st st College Hospital, Ibadan, between 1 January to 31 December 2001. Data was prospectively collected from each obstetric patient admitted.
Results: The total number of deliveries during the year was 1,132 and 21 patients required admission into the ICU (1.86%). The median age was 26 years with a range of 20 35years. Eighteen patients (81%) were admitted postemergency caesarean section or exploratory laparatomy. Eclampsia accounted for 47.6% (10/21) of the admissions, followed by severe haemorrhage from ruptured uterus 33.3% (7/21). Ten patients died giving a mortality rate of 47.6% in this series of obstetric patients admitted into the ICU.
Conclusion: The admission rate of obstetrics patient into the ICU in Ibadan is 1.86%, this may be reduced by an improvement in the management of hypertensive disease of pregnancy and reducing the incidence of ruptured uterus through health education of parturient with high risk pregnancies on the need to have monitored ante-natal care and delivery.
Keywords: obstetric, ICU admissions, indications, outcome
Tropical Journal of Obstetrics and Gynaecology Vol. 22(1) 2005: 56-59
