Scarlett, Marinna D.; Isaacs, Melody-Ann; Fredrick-Johnston, Sherifa; Kulkarni, Santosh K.; McCaw-Binns, Affette M ; Fletcher, Horace M
Author Affiliation, Ana.
Maternal mortality in patients admitted to an intensive care unit in Jamaica
International Journal of Gynecology and Obstetrics
Date of Publication
A retrospective review was conducted of severe acute maternal morbidity (SAMM) admissions to the intensive care unit (ICU) at the University Hospital of the West Indies (UHWI), Jamaica, between January 2001 and December 2006. UHWI has 550 beds and is one of three tertiary care referral centers on the island; it has two 8-bed ICUs. A total of 57 women with SAMM were admitted to the ICU over the study period, representing 2.8% of ICU admissions and 0.4% of total maternal admissions to the hospital. The mean age of the women was 30 years (range, 26-36 years) and the mean duration of stay in the ICU was 6 days (range, 1-35 days). The most common diagnoses were hypertensive disorders of pregnancy, sickle cell disease, and hemorrhagic disorders (Table 1). The cause of the admission in 32 (56.1%) patients was a direct obstetric cause, while for 25 (43.8%) patients the cause was non-obstetric. Only 2 patients with viable pregnancies had inadequate prenatal care. Twenty-five women were admitted after cesarean delivery, 11 after vaginal delivery, 6 following laparotomy, and 6 after induced abortion.....