Table of Contents

2019 Month : July Volume : 8 Issue : 26 Page : 2047-2050

A PROSPECTIVE STUDY OF THE CLINICAL PROFILE AND OUTCOMES OF HYPERTENSIVE DISORDERS OF PREGNANCY (HDsP) ADMITTED TO A MULTIDISCIPLINARY ICU.

BabySailaja K1, Renuka M. K2

Corresponding Author:
Dr. Renuka M. K,
Professor,
Department of Anaesthesiology,
Sri Ramachandra Medical College and
Research Institute, Chennai,
Tamilnadu, India.
E-mail: renuramanujam@gmail.com

ABSTRACT

BACKGROUND

Hypertensive disorders of pregnancy (HDsP) are associated with significant mortality and morbidity of the pregnant patient with wide variations between developed and developing countries. In the present study, we aim to evaluate the magnitude, complications, mortality, and morbidity of patients with HDsP who were admitted to a multidisciplinary intensive care unit (ICU) of a tertiary hospital.

METHODS

We conducted a prospective observational study for two years on all obstetric patients with HDsP shifted to the multidisciplinary ICU of a tertiary care hospital. Demographic profile prevalence of various hypertensive disorders, associated complications, interventions and outcomes were analysed.

RESULTS

Forty-one patients were admitted to the ICU with hypertension complicating pregnancy and carried an ICU mortality rate of 7.3% (n=3). The mean age of the study group was 31.22 ± 6.5 years. Majority of them were primigravidae (59%), in their third trimester (53.7%) and received antenatal care (85.3%). Preeclampsia (n=19) and eclampsia (n=13) accounted for 79% of admission to ICU. Most of them were shifted to ICU during the postpartum period (93%) and 58.6% underwent caesarean section. Haemolysis, Elevated Liver Enzymes, and Low Platelet syndrome (19.5%), Posterior Reversible Encephalopathy syndrome (31.7%) and acute renal failure (22%) were common among the complications. Sequential Organ Failure Assessment score (SOFA) were significantly high among the non survivors indicating multiple organ system involvement.

CONCLUSIONS

Hypertensive disorders of pregnancy remain the most common cause of admission to ICU among the critically ill obstetric patients causing significant mortality and morbidity.

KEY WORDS

Eclampsia, preeclampsia, Intensive care unit, hypertensive disorders of pregnancy, PRES

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