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ISSN: 2167-7700

Chemotherapy: Open Access
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Research Article

Analysis of Risk Factors Affecting the Outcome of Critically Ill Pregnant and Postpartum Women

Xiaodong Pan1, Laifang Sun1, Yuqiang Gong2 and Luming Tang1*

1Department of Emergency, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, 325000, PR China

2Department of Intensive Care Unit, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, 325000, PR China

*Corresponding Author:
Luming Tang
Department of Emergency,
The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University
No. 109 west College Road, Wenzhou, 325000, PR China
Tel: +15019206440
E-mail: [email protected]

Received Date: May 11, 2017; Accepted Date: June 12, 2017; Published Date: June 19, 2017

Citation: Pan X, Sun L, Gong Y, Tang L (2017) Analysis of Risk Factors Affecting the Outcome of Critically Ill Pregnant and Postpartum Women.Chemo Open Access 6:238. doi: 10.4172/2167-7700.1000238

Copyright: © 2017 Pan X, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

The mortality of critically ill pregnant women is an important global health concern. Therefore, we evaluated the risk factors affecting the mortality of critically ill pregnant women admitted to the intensive care unit. All critically ill pregnant patients >18 year from the second affiliated hospital of Wenzhou Medical University. Finally, a total of 100 adult pregnant women were admitted to the intensive care unit. 69 pregnant women were survivor (28.29 ± 4.70 year) with gestational age of 33.33 ± 6.13 week; while 31 pregnant women non-survivor (29.50 ± 5.37 year) with gestational age of 33.21 ± 3.44 week. Multivariable logistic regression analysis showed that PT(OR:6.409; 95% CI, 1.855-22.140; p=0.003), total bilirubin (OR:3.125; 95% CI, 1.013-9.644; p=0.037) and APACHE III score (OR:4.750; 95% CI, 1.488-15.167; p=0.009) were associated with maternal mortality. Considering these promising results, PT, total bilirubin and APACHE III score significantly affect the outcomes of pregnant women admitted to the ICU. Critically ill pregnant patients with liver problems should be carefully monitored.

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