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| The status of maternal near miss rescuing by Intensive Care Unit and Obstetrics:an observational,real-world analysis |
| LU Feng1, MA Dejing2, LIU Xiaoli1, LIU Weili1, ZHANG Mingming1, FU Zhong1 |
1 Department of Respiratory Medicine and Intensive Care Unit,Binzhou Medical University Hospital,Binzhou 256603,P.R.China;
2 Department of Radiology,Binzhou Medical University Hospital |
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Abstract Objective To expound the status of maternal near miss rescuing by Intensive Care Unit and Obstetrics, thus to provide theoretical basis for enhancing the survival rate of maternal.Methods The clinical data of maternal near miss in ICU of Binzhou Medical University Hospital from January 2014 to December 2017 were retrospectively analyzed,including patient source,age,region,APACHEII,delivery times,termination of pregnancy, prenatal examination,keep pregnant,major disease, respiratory support, length of ICU stay, outcomes.Results A total of 161 patients were enrolled,of whom 149 patients were admitted directly to our hospital and 12 patients were transferred after the termination of pregnancy in the external hospital.125 cases(77.64%) were delivered again or multiple times;112 cases (69.57%) came from rural;22.15% of cases had no regularprenatal examination,25.5% of cases had a history of kept pregnant during pregnancy;the causes of transfer to ICU mainly included postpartum hemorrhage,preeclampsia-eclampsia, HELLP syndrome, peripartum cardiomyopathy. APACHEII score was 6.69±4.07;hospitalization time was (3.93±2.81)days; 81.37% (131 cases) patients were returned to obstetrics,and 9.32% (15 cases) to other departments.Conclusion There is still a lot of work to do to reduce the morbidity and mortality of maternal near miss, it’s an effective way to treat these patients by cooperation of ICU and obstetrics.
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Received: 26 April 2018
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