Retrospective analysis of 655 identified cases of mothers admitted to the intensive care units out of 436,136 births. The reasons for the transport were divided into nine categories: peripartum bleeding, hypertensive diseases, thromboembolism, cardiovascular diseases, sepsis/severe infections, metabolic diseases, complications of anaesthesiology, gastroenterological problems and others.
The total incidence of admission to the intensive care units in the observed period was 1.5 per 1,000 births, but for mothers of Roma nationality it was 8.8 per 1,000 births. The average age of mothers was 30.7 years, while 29.7% were over 35 years old. Overweight and obesity was present by 70.4% of mothers. The most common reason for transport to the ICU (49.3%) was severe postpartum hemorrhage. The second most common cause (26.0%) was hypertensive diseases (preeclampsia, eclampsia and HELLP syndrome). The third most common cause (4.9%) was sepsis and severe maternal infections. The mortality rate of mothers admitted to the ICU was 2.3% and infant mortality of these mothers was 8.7%.
The incidence of admission of mothers to the ICU in the monitored years was 1.5 per 1,000 births, which in international comparison ranks Slovakia among countries with a lower incidence.
回顾性分析了436,136例分娩中655例确诊的重症监护病房母亲。运输的原因分为九类:围产期出血,高血压疾病,血栓栓塞,心血管疾病,脓毒症/严重感染,代谢性疾病,麻醉学并发症,胃肠病和其他问题。
在观察期间,入住重症监护病房的总发生率为每千名新生儿1.5例,但是对于罗姆国籍的母亲来说,它是每千名婴儿中8.8名。母亲的平均年龄为30.7岁,而35岁以上的占29.7%。70.4%的母亲出现超重和肥胖。运送到ICU的最常见原因(49.3%)是严重的产后出血。第二个最常见的原因(26.0%)是高血压疾病(先兆子痫,子痫和HELLP综合征)。第三个最常见的原因(4.9%)是败血症和严重的产妇感染。入住ICU的母亲的死亡率为2.3%,这些母亲的婴儿死亡率为8.7%。
在监测的年份中,母亲进入ICU的发生率为每千名婴儿1.5例,在国际比较中,斯洛伐克在发病率较低的国家中排名。