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Review

Role of Critical Care Units in the management of obstetric patients (Review)

  • Authors:
    • Konstantinos Koukoubanis
    • Anastasia Prodromidou
    • Emmanouil Stamatakis
    • Dimitrios Valsamidis
    • Nikolaos Thomakos
  • View Affiliations / Copyright

    Affiliations: First Department of Obstetrics and Gynecology, Medical School, National and Kapodistrian University of Athens, ‘Alexandra’ Hospital, 11528 Athens, Greece, Department of Anesthesiology and Pain Management, ‘Alexandra’ General Hospital of Athens, 11528 Athens, Greece
  • Article Number: 58
    |
    Published online on: May 6, 2021
       https://doi.org/10.3892/br.2021.1434
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Abstract

Pregnancy is considered a natural process for the majority of women. However, a limited proportion of pregnancies and deliveries can present with a broad variety of complications that may require admission to a Critical Care Unit (CCU). In the present review, the indications of admission of obstetrical and postpartum patients to CCUs were critically evaluated with a particular focus on the management of their complications. The management of critically ill obstetric patients remains challenging due to the physiological changes that occur during pregnancy, pregnancy‑related diseases and the need to carefully consider the well‑being of the fetus before any intervention can be recommended/performed. Indications for admission to CCUs include both obstetric and non‑obstetric conditions that may require continuous monitoring and further interventions. Hypertensive disorders of pregnancy and mass hemorrhage are amongst the most common causes of admission to CCUs in pregnant and postpartum women. The establishment of a diagnostic and care algorithm based on the contribution of a multidisciplinary team is of critical importance to aid in the determination of which patients will require intensive care, and to assist in deciding what type of critical care each critically ill patients receives.
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1 

Minville V, Vidal F, Loutrel O, Castel A, Jacques L, Vayssière C, Parant O, Guerby P and Asehnoune K: Identifying predictive factors for admitting patients with severe pre-eclampsia to intensive care unit. J Matern Fetal Neonatal Me: Sep 8, 2020 (Epub ahead of print). doi: 10.1080/14767058.2020.1814248.

2 

Kazma JM, van den Anker J, Allegaert K, Dallmann A and Ahmadzia HK: Anatomical and physiological alterations of pregnancy. J Pharmacokinet Pharmacodyn. 47:271–285. 2020.PubMed/NCBI View Article : Google Scholar

3 

Baird SM and Martin S: Framework for critical care in obstetrics. J Perinat Neonatal Nurs. 32:232–240. 2018.PubMed/NCBI View Article : Google Scholar

4 

ACOG Practice Bulletin No. ACOG Practice Bulletin No. 211: Critical Care in Pregnancy. Obstet Gynecol. 133:e303–e319. 2019.PubMed/NCBI View Article : Google Scholar

5 

Mgawadere F, Kana T and van den Broek N: Measuring maternal mortality: A systematic review of methods used to obtain estimates of the maternal mortality ratio (MMR) in low- and middle-income countries. Br Med Bull. 121:121–134. 2017.PubMed/NCBI View Article : Google Scholar

6 

Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, Gülmezoglu AM, Temmerman M and Alkema L: Global causes of maternal death: A WHO systematic analysis. Lancet Glob Health. 2:e323–e333. 2014.PubMed/NCBI View Article : Google Scholar

7 

Troiano NH and Witcher PM: Maternal mortality and morbidity in the United States: Classification, causes, preventability, and critical care obstetric implications. J Perinat Neonatal Nurs. 32:222–231. 2018.PubMed/NCBI View Article : Google Scholar

8 

Zieleskiewicz L, Chantry A, Duclos G, Bourgoin A, Mignon A, Deneux-Tharaux C and Leone M: Intensive care and pregnancy: Epidemiology and general principles of management of obstetrics ICU patients during pregnancy. Anaesth Crit Care Pain Med. 35 (Suppl 1):S51–S57. 2016.PubMed/NCBI View Article : Google Scholar

9 

Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, Lopez AD, Lozano R and Murray CJ: Maternal mortality for 181 countries, 1980-2008: A systematic analysis of progress towards Millennium Development Goal 5. Lancet. 375:1609–1623. 2010.PubMed/NCBI View Article : Google Scholar

10 

Souza JP, Cecatti JG, Haddad SM, Parpinelli MA, Costa ML, Katz L and Say L: Brazilian Network for Surveillance of Severe Maternal Morbidity Group; Brazilian Network for Surveillance of Severe Maternal Morbidity. The WHO maternal near-miss approach and the maternal severity index model (MSI): Tools for assessing the management of severe maternal morbidity. PLoS One. 7(e44129)2012.PubMed/NCBI View Article : Google Scholar

11 

Gaffney A: Critical care in pregnancy - is it different? Semin Perinatol. 38:329–340. 2014.PubMed/NCBI View Article : Google Scholar

12 

Pollock W, Rose L and Dennis CL: Pregnant and postpartum admissions to the intensive care unit: A systematic review. Intensive Care Med. 36:1465–1474. 2010.PubMed/NCBI View Article : Google Scholar

13 

Cantwell R, Clutton-Brock T, Cooper G, Dawson A, Drife J, Garrod D, Harper A, Hulbert D, Lucas S, McClure J, 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. 118 (Suppl 1):1–203. 2011.PubMed/NCBI View Article : Google Scholar

14 

Edwards Z, Lucas DN and Gauntlett R: Is training in obstetric critical care adequate? An international comparison. Int J Obstet Anesth. 37:96–105. 2019.PubMed/NCBI View Article : Google Scholar

15 

Koukoubanis K, Bibasi V and Thomakos N: The foundamental role of postoperative critical care in gynecologic oncology surgery: A brief report. Ann Colorectal Res. 8:97–100. 2020.

16 

Lee SW, Khaw KS, Ngan Kee WD, Leung TY and Critchley LA: Haemodynamic effects from aortocaval compression at different angles of lateral tilt in non-labouring term pregnant women. Br J Anaesth. 109:950–956. 2012.PubMed/NCBI View Article : Google Scholar

17 

Ueland K, Novy MJ, Peterson EN and Metcalfe J: Maternal cardiovascular dynamics. IV. The influence of gestational age on the maternal cardiovascular response to posture and exercise. Am J Obstet Gynecol. 104:856–864. 1969.PubMed/NCBI

18 

Yeomans ER and Gilstrap LC III: Physiologic changes in pregnancy and their impact on critical care. Crit Care Med. 33 (Suppl 10):S256–S258. 2005.PubMed/NCBI View Article : Google Scholar

19 

Contreras G, Gutiérrez M, Beroíza T, Fantín A, Oddó H, Villarroel L, Cruz E and Lisboa C: Ventilatory drive and respiratory muscle function in pregnancy. Am Rev Respir Dis. 144:837–841. 1991.PubMed/NCBI View Article : Google Scholar

20 

Pandya ST and Mangalampally K: Critical care in obstetrics. Indian J Anaesth. 62:724–733. 2018.PubMed/NCBI View Article : Google Scholar

21 

Chesnutt AN: Physiology of normal pregnancy. Crit Care Clin. 20:609–615. 2004.PubMed/NCBI View Article : Google Scholar

22 

Mushambi MC, Kinsella SM, Popat M, Swales H, Ramaswamy KK, Winton AL and Quinn AC: Obstetric Anaesthetists' Association; Difficult Airway Society. Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics. Anaesthesia. 70:1286–1306. 2015.PubMed/NCBI View Article : Google Scholar

23 

Odutayo A and Hladunewich M: Obstetric nephrology: Renal hemodynamic and metabolic physiology in normal pregnancy. Clin J Am Soc Nephrol. 7:2073–2080. 2012.PubMed/NCBI View Article : Google Scholar

24 

Wiles K, Bramham K, Seed PT, Nelson-Piercy C, Lightstone L and Chappell LC: Serum Creatinine in Pregnancy: A Systematic Review. Kidney Int Rep. 4:408–419. 2018.PubMed/NCBI View Article : Google Scholar

25 

Einav S and Leone M: Epidemiology of obstetric critical illness. Int J Obstet Anesth. 40:128–139. 2019.PubMed/NCBI View Article : Google Scholar

26 

Jayaratnam S, Jacob-Rodgers S and de Costa C: Characteristics and preventability of obstetric intensive care unit admissions in Far North Queensland. Aust NZ J Obstet Gynaecol. 60:871–876. 2020.PubMed/NCBI View Article : Google Scholar

27 

Chawla S, Jose T and Paul M: Critical Care in Obstetrics: Where are We. J Obstet Gynaecol India. 68:155–163. 2018.PubMed/NCBI View Article : Google Scholar

28 

Dusse LM, Alpoim PN, Silva JT, Rios DR, Brandão AH and Cabral AC: Revisiting HELLP syndrome. Clin Chim Acta. 451:117–120. 2015.PubMed/NCBI View Article : Google Scholar

29 

Brown CE, Cunningham FG and Pritchard JA: Convulsions in hypertensive, proteinuric primiparas more than 24 hours after delivery. Eclampsia or some other cause? J Reprod Med. 32:499–503. 1987.PubMed/NCBI

30 

Guntupalli KK, Hall N, Karnad DR, Bandi V and Belfort M: Critical illness in pregnancy: part I: an approach to a pregnant patient in the ICU and common obstetric disorders. Chest. 148:1093–1104. 2015.PubMed/NCBI View Article : Google Scholar

31 

Siddiqui MM, Banayan JM and Hofer JE: Pre-eclampsia through the eyes of the obstetrician and anesthesiologist. Int J Obstet Anesth. 40:140–148. 2019.PubMed/NCBI View Article : Google Scholar

32 

Russell R: Preeclampsia and the anaesthesiologist: Current management. Curr Opin Anaesthesiol. 33:305–310. 2020.PubMed/NCBI View Article : Google Scholar

33 

Agarwal S and Laycock HC: The debate ROTEMs on - the utility of point-of-care testing and fibrinogen concentrate in postpartum haemorrhage. Anaesthesia. 75:1247–1251. 2020.PubMed/NCBI View Article : Google Scholar

34 

Gilmandyar D and Thornburg LL: Surgical management of postpartum hemorrhage. Semin Perinatol. 43:27–34. 2019.PubMed/NCBI View Article : Google Scholar

35 

Sorensen BL, Rasch V, Massawe S, Nyakina J, Elsass P and Nielsen BB: Advanced life support in obstetrics (ALSO) and post-partum hemorrhage: A prospective intervention study in Tanzania. Acta Obstet Gynecol Scand. 90:609–614. 2011.PubMed/NCBI View Article : Google Scholar

36 

Spreu A, Abgottspon F, Baumann MU, Kettenbach J and Surbek D: Efficacy of pelvic artery embolisation for severe postpartum hemorrhage. Arch Gynecol Obstet. 296:1117–1124. 2017.PubMed/NCBI View Article : Google Scholar

37 

Clark SL: Amniotic fluid embolism. Obstet Gynecol. 123:337–348. 2014.PubMed/NCBI View Article : Google Scholar

38 

Nawaz N and Buksh AR: Amniotic fluid embolism. J Coll Physicians Surg Pak. 28:S107–S109. 2018.PubMed/NCBI View Article : Google Scholar

39 

Sultan P, Seligman K and Carvalho B: Amniotic fluid embolism: Update and review. Curr Opin Anaesthesiol. 29:288–296. 2016.PubMed/NCBI View Article : Google Scholar

40 

Gopalan PD and Muckart DJ: The critically ill obstetric patient: What's the score? Int J Obstet Anesth. 13:144–145. 2004.PubMed/NCBI View Article : Google Scholar

41 

el-Solh AA and Grant BJ: A comparison of severity of illness scoring systems for critically ill obstetric patients. Chest. 110:1299–1304. 1996.PubMed/NCBI View Article : Google Scholar

42 

Aarvold AB, Ryan HM, Magee LA, von Dadelszen P, Fjell C and Walley KR: Multiple organ dysfunction score is superior to the obstetric-specific sepsis in obstetrics score in predicting mortality in septic obstetric patients. Crit Care Med. 45:e49–e57. 2017.PubMed/NCBI View Article : Google Scholar

43 

Vasquez DN, Estenssoro E, Canales HS, Reina R, Saenz MG, Das Neves AV, Toro MA and Loudet CI: Clinical characteristics and outcomes of obstetric patients requiring ICU admission. Chest. 131:718–724. 2007.PubMed/NCBI View Article : Google Scholar

44 

Carle C, Alexander P, Columb M and Johal J: Design and internal validation of an obstetric early warning score: Secondary analysis of the Intensive Care National Audit and Research Centre Case Mix Programme database. Anaesthesia. 68:354–367. 2013.PubMed/NCBI View Article : Google Scholar

45 

Umar A, Manu A, Mathai M and Ameh C: Development and validation of an obstetric early warning system model for use in low resource settings. BMC Pregnancy Childbirth. 20(531)2020.PubMed/NCBI View Article : Google Scholar

46 

Shields LE, Wiesner S, Klein C, Pelletreau B and Hedriana HL: Use of maternal early warning trigger tool reduces maternal morbidity. Am J Obstet Gynecol. 214:527.e1–527.e6. 2016.PubMed/NCBI View Article : Google Scholar

47 

Farr A, Lenz-Gebhart A, Einig S, Ortner C, Holzer I, Elhenicky M, Husslein PW and Lehner R: Outcomes and trends of peripartum maternal admission to the intensive care unit. Wien Klin Wochenschr. 129:605–611. 2017.PubMed/NCBI View Article : Google Scholar

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Copy and paste a formatted citation
Spandidos Publications style
Koukoubanis K, Prodromidou A, Stamatakis E, Valsamidis D and Thomakos N: Role of Critical Care Units in the management of obstetric patients (Review). Biomed Rep 15: 58, 2021.
APA
Koukoubanis, K., Prodromidou, A., Stamatakis, E., Valsamidis, D., & Thomakos, N. (2021). Role of Critical Care Units in the management of obstetric patients (Review). Biomedical Reports, 15, 58. https://doi.org/10.3892/br.2021.1434
MLA
Koukoubanis, K., Prodromidou, A., Stamatakis, E., Valsamidis, D., Thomakos, N."Role of Critical Care Units in the management of obstetric patients (Review)". Biomedical Reports 15.1 (2021): 58.
Chicago
Koukoubanis, K., Prodromidou, A., Stamatakis, E., Valsamidis, D., Thomakos, N."Role of Critical Care Units in the management of obstetric patients (Review)". Biomedical Reports 15, no. 1 (2021): 58. https://doi.org/10.3892/br.2021.1434
Copy and paste a formatted citation
x
Spandidos Publications style
Koukoubanis K, Prodromidou A, Stamatakis E, Valsamidis D and Thomakos N: Role of Critical Care Units in the management of obstetric patients (Review). Biomed Rep 15: 58, 2021.
APA
Koukoubanis, K., Prodromidou, A., Stamatakis, E., Valsamidis, D., & Thomakos, N. (2021). Role of Critical Care Units in the management of obstetric patients (Review). Biomedical Reports, 15, 58. https://doi.org/10.3892/br.2021.1434
MLA
Koukoubanis, K., Prodromidou, A., Stamatakis, E., Valsamidis, D., Thomakos, N."Role of Critical Care Units in the management of obstetric patients (Review)". Biomedical Reports 15.1 (2021): 58.
Chicago
Koukoubanis, K., Prodromidou, A., Stamatakis, E., Valsamidis, D., Thomakos, N."Role of Critical Care Units in the management of obstetric patients (Review)". Biomedical Reports 15, no. 1 (2021): 58. https://doi.org/10.3892/br.2021.1434
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