Obstetric Intensive Care Admissions and Neonatal Outcomes

Bibliographic Details
Main Author: Rocha, Filipa Ramalho
Publication Date: 2024
Other Authors: Gonçalves, Tiago Neto, Xavier-Ferreira, Maria Inês, Laranjeira, Francisco, Magalhães, Gonçalo Meleiro, Lopes, Maria Inês, Sousa, Marta, Pestana, Daniela, Fernandes, Élia, Chung, Ana, Berdeja, Ana, Santos, Gonçalo Cassiano, Marto, Natália, Messias, António, Lima, Jorge
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/177168
Summary: Funding 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.
id RCAP_cecd9c0a997e39f9c2fbe6e643b03d91
oai_identifier_str oai:run.unl.pt:10362/177168
network_acronym_str RCAP
network_name_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository_id_str https://opendoar.ac.uk/repository/7160
spelling Obstetric Intensive Care Admissions and Neonatal Outcomes15 Years of Experience from a Single Centercritical illnesshigh-risk pregnancymaternal morbiditymaternal mortalityMedicine(all)SDG 3 - Good Health and Well-beingFunding 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.Background 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.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNRocha, Filipa RamalhoGonçalves, Tiago NetoXavier-Ferreira, Maria InêsLaranjeira, FranciscoMagalhães, Gonçalo MeleiroLopes, Maria InêsSousa, MartaPestana, DanielaFernandes, ÉliaChung, AnaBerdeja, AnaSantos, Gonçalo CassianoMarto, NatáliaMessias, AntónioLima, Jorge2025-01-08T21:23:47Z2024-122024-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/177168eng1010-660XPURE: 105799867https://doi.org/10.3390/medicina60121937info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-01-13T01:44:19Zoai:run.unl.pt:10362/177168Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T19:39:04.060991Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Obstetric Intensive Care Admissions and Neonatal Outcomes
15 Years of Experience from a Single Center
title Obstetric Intensive Care Admissions and Neonatal Outcomes
spellingShingle Obstetric Intensive Care Admissions and Neonatal Outcomes
Rocha, Filipa Ramalho
critical illness
high-risk pregnancy
maternal morbidity
maternal mortality
Medicine(all)
SDG 3 - Good Health and Well-being
title_short Obstetric Intensive Care Admissions and Neonatal Outcomes
title_full Obstetric Intensive Care Admissions and Neonatal Outcomes
title_fullStr Obstetric Intensive Care Admissions and Neonatal Outcomes
title_full_unstemmed Obstetric Intensive Care Admissions and Neonatal Outcomes
title_sort Obstetric Intensive Care Admissions and Neonatal Outcomes
author Rocha, Filipa Ramalho
author_facet Rocha, Filipa Ramalho
Gonçalves, Tiago Neto
Xavier-Ferreira, Maria Inês
Laranjeira, Francisco
Magalhães, Gonçalo Meleiro
Lopes, Maria Inês
Sousa, Marta
Pestana, Daniela
Fernandes, Élia
Chung, Ana
Berdeja, Ana
Santos, Gonçalo Cassiano
Marto, Natália
Messias, António
Lima, Jorge
author_role author
author2 Gonçalves, Tiago Neto
Xavier-Ferreira, Maria Inês
Laranjeira, Francisco
Magalhães, Gonçalo Meleiro
Lopes, Maria Inês
Sousa, Marta
Pestana, Daniela
Fernandes, Élia
Chung, Ana
Berdeja, Ana
Santos, Gonçalo Cassiano
Marto, Natália
Messias, António
Lima, Jorge
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Comprehensive Health Research Centre (CHRC) - pólo NMS
RUN
dc.contributor.author.fl_str_mv Rocha, Filipa Ramalho
Gonçalves, Tiago Neto
Xavier-Ferreira, Maria Inês
Laranjeira, Francisco
Magalhães, Gonçalo Meleiro
Lopes, Maria Inês
Sousa, Marta
Pestana, Daniela
Fernandes, Élia
Chung, Ana
Berdeja, Ana
Santos, Gonçalo Cassiano
Marto, Natália
Messias, António
Lima, Jorge
dc.subject.por.fl_str_mv critical illness
high-risk pregnancy
maternal morbidity
maternal mortality
Medicine(all)
SDG 3 - Good Health and Well-being
topic critical illness
high-risk pregnancy
maternal morbidity
maternal mortality
Medicine(all)
SDG 3 - Good Health and Well-being
description Funding 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.
publishDate 2024
dc.date.none.fl_str_mv 2024-12
2024-12-01T00:00:00Z
2025-01-08T21:23:47Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/177168
url http://hdl.handle.net/10362/177168
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1010-660X
PURE: 105799867
https://doi.org/10.3390/medicina60121937
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
_version_ 1833598232790302720

Similar Items