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Obstetric Disorders and Critical Illness.

Kelly M Griffin1, Corrina Oxford-Horrey2, Ghada Bourjeily3

  • 1Department of Medicine, Division of Pulmonary and Critical Care, Weill Cornell Medical College, 525 East 68th Street, New York, NY 10065, USA.

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Summary

This article reviews common obstetric critical illnesses, including hypertensive disorders, hemorrhage, and embolism, and their ICU management. It highlights critical care for pregnant and postpartum women, emphasizing multidisciplinary approaches.

Keywords:
Acute fatty liver of pregnancyAmniotic fluid embolismHELLP syndromeHypertensive disorders of pregnancyObstetric critical carePeripartum cardiomyopathyPostpartum hemorrhagePulmonary embolism

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Area of Science:

  • Obstetrics and Critical Care Medicine

Background:

  • Critical illness in pregnancy necessitates specialized ICU management.
  • Common obstetric conditions leading to critical illness include hypertensive disorders, hemorrhage, and embolism.

Purpose of the Study:

  • To review common obstetric critical illnesses and their ICU management.
  • To inform critical care physicians on multidisciplinary care for critically ill pregnant and postpartum women.

Main Methods:

  • Literature review and synthesis of common obstetric critical conditions.
  • Discussion of specific conditions: hypertensive disorders, postpartum hemorrhage, HELLP syndrome, AFLP, AFE, peripartum cardiomyopathy, PE, and COVID-19.

Main Results:

  • Obstetric critical illnesses require tailored ICU interventions.
  • Pulmonary embolism and COVID-19 present unique risks and management considerations in pregnant patients.
  • Multidisciplinary collaboration is essential for optimal outcomes.

Conclusions:

  • Critical care physicians must be prepared to manage complex obstetric critical illnesses.
  • Informed, multidisciplinary management improves care for critically ill pregnant and postpartum women.