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Updated: Jun 12, 2026
11:27
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Peripartum intensive care
Richard P Porreco1, Rebecca Barkey
1Presbyterian/St. Luke's Medical Center, Obstetrix Medical Group of Colorado, Denver, Colorado 802018, USA. Richard_porreco@pediatrix.com
Summary
Maternal intensive care unit (ICU) admissions occurred in 0.41% of deliveries across HCA hospitals. Hemorrhage and preeclampsia were leading causes, highlighting the need for accessible ICU resources for obstetric patients.
Area of Science:
- Obstetrics and Gynecology
- Critical Care Medicine
- Health Services Research
Background:
- Maternal morbidity and mortality remain significant concerns in obstetric care.
- The utilization of intensive care unit (ICU) resources for obstetric patients requires further investigation.
- Understanding the prevalence and indications for ICU admission in obstetric patients is crucial for resource allocation.
Purpose of the Study:
- To determine the prevalence of intensive care unit (ICU) admissions among obstetric patients in Hospital Corporation of America (HCA) hospitals.
- To identify the primary indications for ICU admission in this population.
- To analyze the outcomes of obstetric patients admitted to the ICU.
Main Methods:
- A retrospective review was conducted using data from HCA hospitals.
- Diagnosis-related group and revenue codes were used to identify maternity admissions to the ICU.
- Data from Presbyterian/St. Luke's Medical Center (PSL) between 2004-2008 were analyzed.
Main Results:
- The overall prevalence of peripartum ICU admissions in HCA hospitals was 0.41% among 602,488 deliveries.
- At Presbyterian/St. Luke's Medical Center (PSL), the ICU admission rate was 0.62%.
- Leading indications included hemorrhage and preeclampsia/eclampsia; patients with multiples were over-represented, with 20% requiring hysterectomy and nearly one-third needing ventilation.
Conclusions:
- Obstetric patients have a significant and not infrequent requirement for intensive care unit (ICU) resources.
- The findings underscore the importance of ensuring comprehensive ICU availability for obstetric care.
- Hemorrhage and hypertensive disorders are key drivers of critical care needs in pregnancy.
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