Causes of Admission and out Comes Among Preeclampsia and Eclampsia Mothers Admitted to Jimma University Specialized Hospital Intensive Care Unit
Clinical Medicine Research
Volume 4, Issue 5, September 2015, Pages: 154-159
Received: Jul. 21, 2015;
Accepted: Aug. 5, 2015;
Published: Aug. 19, 2015
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Nega Desalegn, Anesthesia Department, College of Heath Science, Jimma University, Jimma Ethiopia
Merga Haile, Anesthesia Department, College of Heath Science, Jimma University, Jimma Ethiopia
Background: Preeclampsia is a multisystem hypertensive disorder of pregnancy with new onset after 20 weeks gestation which is a leading cause of worldwide maternal and fetal morbidity-mortality. Objective: To assess causes of ICU admission and outcomes among pre-eclampsia and eclampsia mothers admitted to Jimma University Specialized Hospital. Methods: A retrospective cross sectional study was conducted at JUSH from May 3 to 8, 2015, all ICU admitted preeclampsia and eclampsia mother’s records from January 1, 2010 to December 31, 2014 were included by consecutive sampling with inclusion and exclusion criteria. Causes of admission, complications and outcomes were obtained from patient records and analyzed by SPSS version 16.0, finally the results presented using simple frequency tables and figures. Chi square (x2) test calculated to analyze the statistical association between patients outcome and other variables, p-value less than 0.05 was considered statistically significant. Result: A total of 1981 patients admitted to Jimma University specialized hospital ICU over the last five years (January 1, 2010 to December 31, 2014) from this 326 of them were preeclampsia and eclampsia mothers and this gives admission rate of 16.5%. For this study only total of 314 preeclampsia and eclampsia mothers records were used and 12mothers cards were excluded by exclusion criteria. The main causes of admission to ICU were eclampsia 106 (33.8%), General condition need close observation 77(24.5%), pulmonary edema 63 (20.1%), postoperative bleeding 31(9.9%) While the main complications were pulmonary edema 82(26.1%), acute renal injury 76(24.2), HELLP syndrome 57(18.2%) and mortality rate of 7.3%.There is association level of blood pressure with maternal outcomes. Conclusion: Rate of maternal admission, complications and mortality is found to be high at JUSH ICU, Jimma University with other stakeholders has to work in improving high quality of cares provided to reduce maternal complications and mortality
Causes of Admission and out Comes Among Preeclampsia and Eclampsia Mothers Admitted to Jimma University Specialized Hospital Intensive Care Unit, Clinical Medicine Research.
Vol. 4, No. 5,
2015, pp. 154-159.
Casey E. Hayes N. Ross A. Obstetric critical care Clinical problems 2013. European Society of Intensive Care Medicine
Public Health Agency of Canada. Make every mother and child count: report on maternal and child health in Canada. 2005. Available from: http://publications.gc.ca/collections/
Jignesh J Kansaria, SV Parulekar Critical Care in Preeclampsia, Eclampsia Bombay Hospital Journal, Vol. 50, No. 1, 2008
Cantwell R, Clutton-Brock T, Cooper G, and Dawson A, Drife J, Garrod D, et al. Saving Mothers’ Lives: Reviewing maternal deaths to make motherhood safer: 2006-2008. The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG 2011; 118 Suppl 1: 1-203. PMI D 21356004. http://www.hqip.org.uk/cmace-reports/
Duckitt K, Harrington D. Risk factors for pre-eclampsia at antenatal booking: systematic review of controlled studies. BMJ 2005; 330(7491): 565. PMID 15743856
Mirski MA, Varelas PN. Seizures and status epilepticus in the critically ill. Crit Care Clin 2008; 24(1): 115-147. PMID 18241782
Karnad DR, Lapsia V, Krishnan A, et al. Prognostic factors in obstetric patients admitted to an Indian intensive care unit. Crit Care Med 2004;32:1294-9.
Maine D, Chavkin W. Maternal mortality: global similarities and differences. J Am Med Womens Assoc 2002;57: 127-30.
Bhattacharya S, Campbell DM. The incidence of severe complications of preeclampsia. Hyper tens Pregnancy. 2005; 24: 181-90.
Soubra SH, Guntupalli KK. Critical illness in pregnancy: an overview. Crit Care Med 2005; 33(suppl):S248–S255
Karnad DR, Guntupalli KK. Critical illness and pregnancy: review of a global problem. Crit Care Clin 2004; 20:555–576
Gatt S. Pregnancy, delivery and the intensive care unit: need, outcome and management. CurrOpinAnaesthesiol 2003; 16:263–267
D.J. Tuffnell et al. Outcomes of severe pre-eclampsia/eclampsia in Yorkshire 1999/2003 BJOG: an International Journal of Obstetrics and Gynecology July 2005, Vol. 112, pp. 875–880 www.blackwellpublishing.com/bjog
Vasquez DN1, Neves AV2, Zakalik G3, Intile OS024. Characteristics and outcomes of critically ill obstetric patientswith hypertensive disease of pregnancy in argentina: Multicenter study.
Curiel-Balsera E1, Prieto-Palomino MA, Muñoz-Bono J [Analysis of maternal morbidity and mortality among patients admitted to Obstetric Intensive Care with severe preeclampsia, eclampsia or HELLP syndrome].
Eugene Belley Priso1, Theophile Nana Njamen1, Charlotte Nguefack Tchente1,2, Albert Justin Kana3, Trend in admissions, clinical features and outcome of preeclampsia and eclampsia asseen from the intensive care unit of the Douala General Hospital, Cameroon.
Leung NY, Lau AC, Chan KK, Yan WW. Clinical characteristics and outcomes of obstetric patients admitted to the Intensive Care Unit: a 10-year retrospective review Hong Kong Med J. 2010 Feb 16(1):18-25.
Adamu Sadiq Abubakar1, 3, Mohammed Bukar2 ,Audit of Anaesthetic Management of Eclamptic Patients for Caesarean Section in the North-Eastern, Nigeria
Nevra Alkanli1,Tammam Sipahi1, *, Tulay Okman Kilic2 ,Lack of association between ACE I/D and AGTR1 A1166C gene polymorphisms and preeclampsia in Turkish pregnant women of Trakya region