Abstract:

Purpose: Critical obstetric patients (COPs) are concerned with the severation of both a pre-gravity disease and the pregnancy itself and the newly emerging additional diseases. There is a limited number of data in the literature for the follow-up of KOPs. The aim of this study is to investigate the frequency, causes, consequences and factors affecting mortality in our intensive care unit with the retrospective scan of the KOPS we have followed in the last 10 years. Method: Our study was planned retrospectively on KOPs based in the period 2011-2021 in the University of Health Sciences, Istanbul Bağcılar Education and Research Hospital YBÜ. Results: Data of 220 patients between the ages of 18 and 50 who were diagnosed with COPD were included in the study. The cause of the patient’s reception to YBU was the most frequent Caesarine (n=129, 58,6%) and the most frequent reception indication was bleeding (n=56,25,4%. The duration of hospitalization is 2 (3,5±4) days, while the duration of hospitalization is 6 (9.1±7.9) days, with the dismissal rate of 94.5% and the mortality rate of 4.5%. In patients with mortality, the gestational age was lower (p<0.05), the first 24 hours of acute physiology and chronic health assessment score II, the successive organ insufficiency assessment score was significantly higher (p<0,001). The result is that the most frequent reception to HIV was Caesarine (n=129, 58.6%) and the most frequent reception indication was obstetric bleeding (n=56, 25.4%. The mortality rate was 4.5%. COPs should be prepared for complications that may arise and the monitoring and treatment of these patients should be carried out properly.

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