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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
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Escalating Care on Labor and Delivery.

Elisa C Walsh1, Emily E Naoum1

  • 1Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, GRB 444, Boston, MA 02114, USA.

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|November 15, 2021
PubMed
Summary
This summary is machine-generated.

Maternal morbidity and mortality are increasing due to chronic illness, disparities, and older maternal age. Prompt care escalation to intensive care units is vital for preventing adverse outcomes.

Keywords:
Critical careEscalation of care / Escalating careIntensive careLevels of maternal careMaternal healthMaternal mortalitySevere maternal morbidity

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Area of Science:

  • Obstetrics and Gynecology
  • Critical Care Medicine
  • Public Health

Background:

  • Rising maternal morbidity and mortality rates are linked to chronic illnesses, socioeconomic and racial disparities, and advanced maternal age.
  • Effective prevention strategies necessitate timely transfer of high-risk patients to facilities equipped with intensive care services.

Purpose of the Study:

  • To highlight the importance of prompt escalation of care for preventing adverse maternal outcomes.
  • To discuss the role of obstetrical-specific risk assessment tools and protocols in reducing maternal intensive care unit (ICU) admissions.
  • To identify remaining challenges in maternal care escalation and management delays.

Main Methods:

  • Review of current literature and clinical practices related to maternal critical care.
  • Analysis of factors contributing to maternal morbidity and mortality.
  • Examination of existing risk assessment tools and care protocols for obstetrical patients.

Main Results:

  • Obstetrical-specific risk assessment tools and protocolized care have shown promise in reducing preventable complications.
  • Despite advancements, significant barriers to timely care escalation persist.
  • Delays in appropriate management contribute to adverse maternal outcomes.

Conclusions:

  • Prompt escalation of care to facilities with intensive care capabilities is crucial for mitigating rising maternal morbidity and mortality.
  • Continued development and implementation of risk assessment tools and protocols are essential.
  • Addressing systemic barriers to care escalation is necessary to minimize delays and improve maternal outcomes.