Obstetric Disorders in the ICU

Daniela N. Vasquez; Lauren Plante; María N. Basualdo; Gustavo G. Plotnikow

doi:10.1055/s-0037-1600910

Seminars in Respiratory and Critical Care Medicine, Table of Contents

Semin Respir Crit Care Med 2017; 38(02): 218-234
DOI: 10.1055/s-0037-1600910

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

Obstetric Disorders in the ICU

Authors

Daniela N. Vasquez

¹Intensive Care Unit, Sanatorio Anchorena, Autonomous City of Buenos Aires, Argentina
Lauren Plante

²Departments of Anesthesiology and Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Drexel University College of Medicine, Philadelphia, Pennsylvania
María N. Basualdo

³Department of Obstetrics and Gynecology, Sanatorio Anchorena, Autonomous City of Buenos Aires, Argentina
Gustavo G. Plotnikow

¹Intensive Care Unit, Sanatorio Anchorena, Autonomous City of Buenos Aires, Argentina

Abstract

Pregnant and postpartum patients represent a challenge to critical care physicians, as two patients in one have to be cared for and because specific obstetric disorders, not universally covered in formal critical care training, need to be managed. Pregnancy also alters physiologic norms, so that the critical care physician may either fail to recognize a value as abnormal in pregnancy or mistakenly identify as abnormal a value within the normal range for a pregnant woman. In this article, we will review the most frequent obstetric causes of admission of pregnant/postpartum patients to the intensive care unit (hypertensive disease of pregnancy, obstetric hemorrhage, and obstetric sepsis) along with their diagnostic criteria, clinical presentation, and recommended treatment. We will also cover some specific, although less frequent, obstetric disorders, such as acute fatty liver of pregnancy, peripartum cardiomyopathy, and amniotic fluid embolism. Our primary aim is to improve quality of care for these types of patients.

Keywords

obstetrics - critical care - preeclampsia - eclampsia - postpartum hemorrhage - septic abortion - puerperal infection

Full Text

References

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