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العنوان
Non-obstetric causes of admission in obstetric intensive care unit/
المؤلف
Hafez,Ramy Gamal
هيئة الاعداد
باحث / رامى جمال حافظ
مشرف / محسن عبد الغنى بسيونى
مشرف / محمد سيد شوربجى
تاريخ النشر
2016
عدد الصفحات
219.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
العناية المركزة والطب العناية المركزة
تاريخ الإجازة
1/1/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - General Intensive Care
الفهرس
Only 14 pages are availabe for public view

from 218

from 218

Abstract

The major reasons of maternal death are complications asso¬ciated with the pregnancy-puerperal period, represented primarily by hypertensive and hemorrhagic complications, and puerperal infections. Over the past years, due to the efforts aimed at decreasing maternal mortality (MM), a reduction in MM because of the above mentioned reasons has been observed; this reduction has been more marked in developed countries, but it has also been remarkable in developing countries. Consequently, a relative rise in mortality because of secondary reasons, like heart and respi¬ratory diseases, has been observed. (Lelong et al., 2013)
Most females admitted at the ICU have an obstetric diagnosis as cause of hospitalization (50-80%); however, these females tend to have a better prognosis when com¬pared to females admitted to the ICU for clinical causes. (Lelong et al., 2013).
The most frequently found clinical conditions were: heart diseases, venous thromboembolism, sepsis and septic shock, severe asthma, acute pulmonary edema, pneumonia (community-acquired and hospital-acquired), epilepsy, diabetic ketoacidosis. (Lelong et al., 2013)
Cardiac disease is a leading reason of maternal death in pregnancy in many developed countries. cardiac diseases as: ischemic heart disease, Peripartum cardiomyopathy, Rheumatic heart disease, Congenital heart diseases. (Warnes, 2015).
Pregnancy is associated with physiologic and anatomic changes that raise the hazard of thromboembolism. (Horellou et al., 2015)
Stroke is a devastating event for a pregnant female, which can cause long-term disability or death, and impact on her family and unborn child. (Moatti et al., 2014).
Pregnancies complicated by severe sepsis and septic shock are associated with raised rates of preterm labor, fetal infection, and preterm delivery. Sepsis onset in pregnancy can be insidious, and patients may appear deceptively well before rapidly deteriorating with the development of septic shock, multiple organ dysfunction syndrome, or death. The result and survivability in severe sepsis and septic shock in pregnancy are improved with early detection, prompt recognition of the source of infection, and targeted management. (Barton and sibai, 2012).
Bronchial asthma is one of the most common potentially serious and affecting disease all over the world, asthma is quite common to be seen to complicate pregnancy as well. Treating asthma and its complications in pregnancy is quite different as both the illness and the management of the developing fetus must be considered. (Vanders and Murphy, 2015)
Rapid onset interstitial fluid accumulation in the lungs, acute pulmonary oedema (APO), is a potential complication of maternal hypertension, seen particularly in females with preeclampsia and eclampsia. (O’Dwyer et al., 2014)
Pneumonia complicating pregnancy requires a prompt diagnosis and the institution of adequate supportive and antimicrobial therapy. (Abbal et al., 2014)
The development of diabetic ketoacidosis in pregnancy is a medical emergency, requiring management in an intensive care setting. Both the mother and the fetus are at risk for remarkable morbidity and mortality. Physiologic changes unique to pregnancy provide a background for the development of diabetic ketoacidosis. (Menon and Morton, 2015)