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Revista Información Científica

On-line version ISSN 1028-9933

Abstract

GARCES-ROJA, Evelín; MARTINEZ-REGALADO, Oduardo; MENESES-LABRADA, Marcos Antonio  and  PALMERO-MARRERO, Roxana. Characterization of pregnant women in critically surgical state admitted to the Intensive Care Unit. Rev. inf. cient. [online]. 2022, vol.101, n.4  Epub Oct 20, 2022. ISSN 1028-9933.

Introduction:

Obstetric morbidity and maternal mortality are defined as the probability that a woman who has been or is pregnant will become ill or die.

Objective:

Characterization of the obstetric patient in critically surgical state admitted to the Intensive Care Unit (ICU) at the Hospital General Docente "Vladimir Ilich Lenin" in Holguín province.

Method:

A descriptive, longitudinal, retrospective study was conducted from January 1 to December 31, 2021. The universe studied consisted of 90 pregnant women in critically surgical state admitted to the ICU (sample=universe). It was identified: age, physical status according to the American Society of Anesthesiologists, associated diseases, anesthetic technique used, diagnosis on admission to the intensive care unit, and mortality. The results were recorded in an electronic database and the descriptive statistics were applied.

Results:

Obstetric patients with physical status II according to the American Society of Anesthesiology, between 20 to 29 years of age with a history of arterial hypertension were the most likely to be admitted to the Intensive Care Unit, the direct causes being: mainly obstetric hemorrhage, seconded by aggravated preeclampsia and sepsis; indirect causes: non-obstetric surgery, such as acute appendicitis. General anesthesia was the most commonly used anesthetic technique. Mortality was low and indirect cause.

Conclusions:

The results agree with those published by other authors, which show the importance of multidisciplinary care from primary health care to secondary care.

Keywords : morbidity; mortality; obstetric patient; pregnant women in critically surgical state; intensive care unit.

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