Impact of Intensive Care Management of Life Threatening Asthma on Feto-Maternal Outcome
- *Corresponding Author:
- Wafaa Ali Hassan
Assistant Professor of chest diseases, Faculty of Medicine
Assiut University, 71111 Assiut, Egypt
E-mail: [email protected]
Received date: December 11, 2013; Accepted date: January 23, 2014; Published date: January 29, 2014
Citation: Hassan WA, Darwish A, Zareh ZA (2014) Impact of Intensive Care Management of Life Threatening Asthma on Feto-Maternal Outcome. J Women’s Health Care 3:144. doi: 10.4172/2167-0420.1000144
Copyright: © 2014 Hassan WA, 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.
Background: The pregnant patient with medical complications represents a unique challenge to the intensive care specialist and often requires the management expertise of several subspecialists. Aim: to evaluate the impact of intensive care management on the maternal and fetal outcomes in pregnant women with life threatening asthma.
Patients and methods: Twenty six obstetric patients with life threatening asthma admitted to the maternal intensive care unit (MICU) of Woman′s Health Hospital during a 2-year Period from January 2010 through May 2012 were included in this study. Data collected included asthma history, ICU management, maternal and fetal outcome.
Results: All patients had history of persistent asthma (mild 27%, moderate 50%, severe 13%); most were receiving inhaled β agonist and corticosteroid preparations before the life threatening attack. Five only stopped taking any medications during pregnancy. Controlled mechanical ventilation was required in 5 patients (19%). The severity of hypercapnia ranged from 48 to 82 mm Hg. Two cases had preclampsia, 2 gestational diabetes, vaginal bleeding and premature rupture of membrane in one case and preterm birth in 2 cases. Twenty two cases were delivered by C.S (85%).
Conclusions: Obstetric patients with asthma are at risk for the development of life-threatening status asthmaticus, requiring MICU admission. The need for close interdisciplinary communication between obstetricians, intensivist and chest physicians to optimize maternal and fetal outcome is emphasized.