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Obstetric Intensive Care Admissions and Neonatal Outcomes

2024-12Artigo científico Acesso aberto
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dc.contributor.authorRocha, Filipa Ramalho
dc.contributor.authorGonçalves, Tiago Neto
dc.contributor.authorXavier-Ferreira, Maria Inês
dc.contributor.authorLaranjeira, Francisco
dc.contributor.authorMagalhães, Gonçalo Meleiro
dc.contributor.authorLopes, Maria Inês
dc.contributor.authorSousa, Marta
dc.contributor.authorPestana, Daniela
dc.contributor.authorFernandes, Élia
dc.contributor.authorChung, Ana
dc.contributor.authorBerdeja, Ana
dc.contributor.authorSantos, Gonçalo Cassiano
dc.contributor.authorMarto, Natália
dc.contributor.authorMarto, Natália
dc.contributor.authorMessias, António
dc.contributor.authorLima, Jorge
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.pblMDPI - Multidisciplinary Digital Publishing Institute
dc.date.accessioned2025-01-08T21:23:47Z
dc.date.available2025-01-08T21:23:47Z
dc.date.issued2024-12
dc.descriptionFunding Information: This research was partially funded by the Hospital da Luz Lisboa under the initiative \u201CLuz Investiga\u00E7\u00E3o\u201D. The funding sources were not involved in the study design; collection, analysis and interpretation of data; the writing of the report; or the decision to submit the paper for publication. Publisher Copyright: © 2024 by the authors.
dc.description.abstractBackground and Objectives: Maternal severe morbidity and mortality are measures for assessing maternal healthcare, and admissions to the intensive care unit (ICU) can be used to study these metrics. Here, we analyze ICU admissions of pregnant or postpartum women in a tertiary hospital. Materials and Methods: This is a retrospective, single-center, observational cohort study of obstetric intensive care admissions at a Portuguese hospital spanning 15 years. We analyzed maternal, admission-related, and neonatal variables from women admitted during pregnancy and up to 42 days post-delivery. Results: We identified 150 obstetric ICU admissions (0.9% of all ICU admissions, with an admission rate of 4.4 per 1000 deliveries). The mean age was 34 years, with most women being multiparous and 16.7% utilizing assisted reproductive technology. Notably, 45% of the women were above 35 years old. Most (86.7%) were admitted during the early postpartum period after undergoing a cesarean section (74%). The most frequent reasons for ICU admission were postpartum hemorrhage and hypertensive disorders of pregnancy. The mortality rate was 1.3%. The mean gestational age of newborns was 36 weeks and 6 days, and 46.4% were admitted to the neonatal ICU. We recorded one fetal death at 25 weeks and no neonatal deaths. Conclusions: The unique needs of obstetric ICU patients emphasize the need for specialized training of multidisciplinary teams. Severe postpartum hemorrhage was responsible for significant morbidity and disability, prompting a reassessment of delivery practices.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent328617
dc.identifier.doi10.3390/medicina60121937
dc.identifier.issn1010-660X
dc.identifier.otherPURE: 105799867
dc.identifier.otherPURE UUID: df4187d2-6b58-4655-98b4-89140a22fc88
dc.identifier.otherScopus: 85213445261
dc.identifier.urihttp://hdl.handle.net/10362/177168
dc.identifier.urlhttps://www.scopus.com/pages/publications/85213445261
dc.language.isoeng
dc.peerreviewedyes
dc.subjectcritical illness
dc.subjecthigh-risk pregnancy
dc.subjectmaternal morbidity
dc.subjectmaternal mortality
dc.subjectGeneral Medicine
dc.subjectSDG 3 - Good Health and Well-being
dc.titleObstetric Intensive Care Admissions and Neonatal Outcomesen
dc.title.subtitle15 Years of Experience from a Single Centeren
dc.typejournal article
degois.publication.issue12
degois.publication.titleMedicina (Lithuania)
degois.publication.volume60
dspace.entity.typePublication
person.familyNameMarto
person.givenNameNatália
person.identifier.ciencia-id911A-26CD-7A4B
person.identifier.orcid0000-0003-2898-0816
rcaap.rightsopenAccess
relation.isAuthorOfPublication8c02dfbf-e5df-484e-9c11-70911c54c345
relation.isAuthorOfPublication.latestForDiscovery8c02dfbf-e5df-484e-9c11-70911c54c345

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