Authors: Sima Ole B, Mba Edou SG, Ntsame Mezui E, Reindah T, Mounguengui O, Madi Tigana G, Ada Sagbo V, Obame ER, Bang Ntamack JA, Mayi Tsong S, Meye JF.
Introduction: Pregnancy is a physiological state so the evolution is unpredictable in our context.
Objectives: To assess the morbidity and peripartum mortality of patients admitted to intensive care.
Patients and Method: This is a descriptive and analytical survey with retrospective collection, over a period of 6 years from January 1, 2018 to December 31, 2023 at the maternity ward of the Owendo University Hospital. It concerned all patients admitted for serious obstetric pathology in peripartum requiring admission to intensive care. Epidemiological, clinical and prognostic variables were studied.
Results: During the study period, 1889 patients were admitted to intensive care. We have retained 179 (9.5%). The average age was 28.3±7.3 years with, 133 (74.3%) were unemployed, among them, 59 (44.36%) were learners. When the pregnancy had benefited from prenatal care (70.4%), the midwife was the provider for 68% of cases. At the time of admission to intensive care, 139 patients (77.6%) were from the operating room. Eclampsia was the reason for admission for 65 cases (36.3%), severe preeclampsia 50 cases (27.9%) and postpartum haemorrhage 27 cases (15.1%). The average length of hospitalization was 3.2±1.5 days and 10 deaths (5.6%) were recorded.
Conclusion: Maternal morbidity and mortality remain high, and intensive care stays must be systematic for highrisk pregnancies (HRP).
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