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Jan 2019, Vol 7, Issue 1
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Original Article
Clinical Characteristics and Mortality of Obstetric Patients Admitted to a Tertiary Intensive Care Unit in the Brazilian Northeast.
Orivaldo Alves Barbosa, Rafhaela Monteiro de Lima, Renata Caetano Aguiar, Mariana Gabriella Correia Viana
General Hospital Dr. César Cals, Medicine Course of Christus University Center (UNICHRISTUS), R. João Adolfo Gurgel, 133 -Cocó, Fortaleza - CE, 60190-060, Brazil

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Keywords : Intensive care, Pregnancy complications, Maternal mortality, Hypertensive Disease of Pregnancy, Sepsis
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Objectives: This study aimed to analyze the determinants of hospitalization and death in an intensive care unit between pregnant and postpartum women.

Materials and Methods: This is a quantitative and retrospective documentary research performed at the Hospital Dr. César Cals, reference in Obstetrics in the State of Ceará. Data was carried out through the analysis of charts obtained of puerperal or pregnant women admitted to the ICU.

Results: Regarding the type of delivery, 41 (73.2%) were cesarean and, in regard to the outcome, the majority of the patients (51%) were discharged from hospital. In the analysis between the admission diagnosis and the outcome, it can be observed that many patients presented more than one diagnosis at admission, the highest rate being hypertensive disorders of pregnancy (HYP) and complications, comprising 23 (38.3%), , in which 4 (four) of these patients died. Sepsis was the second cause of hospitalization with 17 (28.3%). In addition, 11 (18.3%) patients had hemorrhage. There were 2 (two) deaths related to fulminant hepatitis.

Conclusion: It is expected that the results of the present study may contribute to the extension of the professionals knowledge on the subject, collaborating to prevent hospitalization and death of these patients.


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