Vol. 3, Issue 1, Part A (2021)
Obstetric and gynaecologic admissions in an intensive care unit in a Nigerian tertiary health institution
Umar Amina Gambo, Galadima Ibrrahim
Rationale: Obstetric and gynaecological patients with critical medical or surgical complications represents unique challenge to the Obstetrician and Gynaecologist and often require multi-disciplinary management in a hospital intensive care unit. Objectives: To determine the common indications for ICU (intensive care unit) admission, management and outcome. Methods: This was a retrospective study carried out over a period of 4 years from January, 2015 to December, 2018. All the case notes of obstetrics and gynaecological patients admitted in to the intensive care unit of the Usmanu Danfodiyo University Teaching Hospital, Sokoto were retrieved. from the medical records department and intensive care unit. Relevant information was extracted and the data obtained was analysed using the SPSS software version 20. A p-value of <0.05 was considered statistically significant and the results are expressed in tables and charts. Findings: Out of 716 ICU admissions, 131 Obstetrics and gynaecological patients accounted for 18.16%. Among them, 83.1% comprised of obstetrics while 18.2% are gynaecoloical cases. The main indication for ICU admission is for observation in very high risk patients post-operatively (66.3%). Blood transfusion is the most common intervention offered (54.5%). The most common complication noticed is AKI (11.1%) with mortality rate of 24.7% The mean duration of CU stay is 2.8 ± 3.5 days There is statistically significant association between duration of hospital stay and maternal death at P= 0.01. Conclusion: Obstetric cases remain the most common indication for ICU admission. Hypertensive disorders of pregnancy being the leading cause and acute renal impairment as the most common complication.
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Umar Amina Gambo, Galadima Ibrrahim. Obstetric and gynaecologic admissions in an intensive care unit in a Nigerian tertiary health institution
. Int. J. Gynaecol. Obstet. Sci. 2021;3(1):01-06. DOI: 10.33545/26649004.2021.v3.i1a.13