مهم‌ترین عوامل بستری مادران باردار آسیایی در بخش مراقبت‌های ویژه

نوع مقاله: مروری

نویسندگان

1 متخصص گروه بیهوشی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 فلوشیپ مراقبت‌های ویژه، گروه بیهوشی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 متخصص گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استادیار گروه بیهوشی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

10.22038/ijogi.2020.15967

چکیده

مقدمه: مرگ‌و‌میر مادران در حین زایمان، یک شاخص مهم شناخته شده برای کیفیت خدمات زایمان است که نشان‌دهنده میزان توسعه یافتگی یک کشور می‌باشد و با سطوح مختلف اجتماعی، اقتصادی و فرهنگی آن کشور در ارتباط است. پذیرش به بخش مراقبت‌های ویژه (ICU) ممکن است یک نشانگر عینی از بیماری­های شدید مادر باشد. با توجه به اهمیت کاهش مرگ‌و‌میر مادران به‌عنوان یکی از مهم‌ترین شاخص‌های سلامت و اهمیت بررسی دلایل بروز آن، مطالعه مرور سیستماتیک حاضر با هدف بررسی علل نیاز مادران باردار به ورود به بخش مراقبت‌های ویژه صورت گرفت.
روش‌کار: در این مطالعه جهت یافتن مقالات مرتبط، پایگاه‌های اطلاعاتی Google Scholar، PubMed، Magiran، Science Direct و SID جستجو شدند. جستجو به‌طور اولیه در ژانویه 2018 انجام شد و در فوریه 2018 به‌روز شد. کلید‌واژه‌های جستجو شده شامل: ICU و Intensive Care Unit در ترکیب باPregnancy ، Pregnant Women و Obstetric Patients بود که مطالعات چاپ شده از آغاز تا سال 2018 را مورد جستجو قرار دادند.
یافته‌ها: بر اساس نتایج به‌دست آمده، خونریزی و پره‌اکلامپسی، شایع‌ترین علل بستری زنان باردار در بخش مراقبت­های ویژه بودند. شایع‌ترین علت مراجعه زنان باردار به ICU، خونریزی بود که فراوانی آن در کشورهای آسیایی بین 62-7% بود. دومین علت مراجعه زنان باردار به ICU، پره‌اکلامپسی و اکلامپسی بود که فراوانی آن بین 25-2% گزارش شد. دیگر عوامل شایع در انتقال زنان باردار به ICU شامل: سپسیس، سندرم HELLP، کاردیومیوپاتی پری‌پارتوم، سندرم آمبولی فلج مغزی و کبد چرب حاد حاملگی بود.
نتیجه‌گیری: خونریزی و پره‌اکلامپسی، سپسیس، سندرم HELLP، کاردیومیوپاتی پری‌پارتوم، سندرم آمبولی فلج مغزی و کبد چرب حاد حاملگی، شایع‌ترین علل بستری زنان باردار در بخش مراقبت‌های ویژه می‌باشند.

کلیدواژه‌ها


عنوان مقاله [English]

Most Common reasons for ICU admissions during pregnancy in Asian mothers

نویسندگان [English]

  • Iman Hashemi Petroudi 1
  • Sepideh Fanaei 1
  • Babak Dabbaghi 1
  • Farzaneh Fazeli 2
  • Sonia Nourkhomami 3
  • Alireza Sedaghat 4
1 Anesthesiologist, Faculty of Medicine, Mashhad University of medical sciences, Mashhad, Iran.
2 Fellowship of Anesthesiology, Department of Anesthesiology, Faculty of Medicine, Mashhad University of medical sciences, Mashhad, Iran.
3 Gynecologist, Faculty of Medicine, Mashhad University of medical sciences, Mashhad, Iran.
4 Assistant professor, Department of Anesthesiology, Faculty of Medicine, Mashhad University of medical sciences, Mashhad, Iran.
چکیده [English]

Introduction: Maternal mortality during childbirth is a well-known indicator of the quality of maternity services that reflects the level of development of a country. Moreover, it is associated with various social, economic and cultural levels of a country. Admissions to the Intensive Care Unit (ICU) may be considered an objective indicator of severe maternal diseases. One of the most important health indicators is to reduce maternal mortality and the significance of examining the reasons for its occurrence. Therefore, this systematic review aimed to investigate the reasons why pregnant women are admitted to the ICUs.
Methods: The search process was conducted through the Google Scholar, PubMed, Magiran, Science Direct and SID databases. The search was originally conducted in January 2018 and updated in February 2018. The keywords searched were ICU and Intensive Care Unit, which in combination with Pregnancy, Pregnant Women and Obstetric Patients searched the published studies from the beginning until 2018.
Results: According to the findings, hemorrhage and preeclampsia are the most common causes of hospitalization of pregnant women in the ICUs. Based on the findings of this study, hemorrhage with an incidence rate of 7 to 62% was the most common admission causes of pregnant women to the ICUs in Asian countries. The second reason for pregnant women referral to the ICUs was preeclampsia and eclampsia (2 to 25%). Other common causes for the ICU admissions during pregnancy included sepsis, HELLP syndrome, peripartum cardiomyopathy, cerebral palsy syndrome, and acute fatty liver of pregnancy.
Conclusion: Bleeding and preeclampsia, sepsis, HELLP syndrome, peripartum cardiomyopathy, embolism of cerebral palsy and acute fatty liver of pregnancy are the most common causes of hospitalized pregnant women.

کلیدواژه‌ها [English]

  • HELLP syndrome
  • Hemorrhage
  • Intensive Care Unit
  • Preeclampsia
  • Sepsis
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