Australian Critical Care
Volume 24, Issue 4 , Pages 218-228 , November 2011

Maternal severity of illness across levels of care: A prospective, cross-sectional study

  • Wendy E. Pollock

      Affiliations

    • La Trobe University/Mercy Hospital for Women, Midwifery Professorial Unit, Level 4, Mercy Hospital for Women, 163 Studley Rd, Heidelberg, VIC 3084, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +61 3 8458 4615.
    • ,
  • Nerina S. Harley

      Affiliations

    • Intensive Care Unit, Royal Melbourne Hospital, Grattan St, Parkville, VIC 3050, Australia
    • ,
  • Sioban M. Nelson

      Affiliations

    • Faculty of Nursing, University of Toronto, 155 College Street, Suite 215, Toronto, ON M5T 1P8, Canada

Received 31 May 2010 ,Revised 2 March 2011 ,Accepted 29 March 2011.

References 

  1. In:  Lewis G editors. Why mothers die. Confidential enquiries into maternal deaths in the United Kingdom 2000–2002. London: RCOG; 2004;
  2. Slaytor E, Sullivan E, King J. Maternal deaths in Australia 1997–1999. Sydney: AIHW National Perinatal Statistics Unit (Maternal Deaths Series No. 1); 2004;
  3. Mantel G, Buchmann E, Rees H, Pattinson R. Severe acute maternal morbidity: a pilot study of a definition for a near-miss. Br J Obstet Gynaecol. 1998;105:985–990
  4. Bouvier-Colle M-H, Varnoux N, Salanave B, Ancel P-Y, Breart G. Case–control study of risk factors for obstetric patients’ admission to intensive care units. Eur J Obstet Gynecol Reprod Biol. 1997;74:173–177
  5. Panchal S, Arria A, Harris A. Intensive care utilization during hospital admission for delivery: prevalence, risk factors, and outcomes in a statewide population. Anesthesiology. 2000;92:1537–1544
  6. Zwart J, Dupuis J, Richters A, Öry F, van Roosmalen J. Obstetric intensive care unit admission: a 2-year nationwide population-based cohort study. Int Care Med. 2010;36:256–263
  7. Pollock W, Rose L, Dennis C-L. Pregnant and postpartum admissions to the intensive care unit: a systematic review. Int Care Med. 2010;36:1465–1474
  8. Waterstone M, Bewley S, Wolfe C. Incidence and predictors of severe obstetric morbidity: case–control study. BMJ. 2001;322:1089–1094
  9. Zhang W, Alexander S, Bouvier-Colle M-H, Macfarlane A the MOMS-B Group. Incidence of severe pre-eclampsia, postpartum haemorrhage and sepsis as a surrogate marker for severe maternal morbidity in a European population-based study: the MOMS-B survey. Br J Obstet Gynaecol. 2005;112:89–96
  10. Roberts CL, Ford J, Algert CS, Bell J, Simpson JM, Morris JM. Trends in adverse maternal outcomes during childbirth: a population-based study of severe maternal morbidity. BMC Pregnancy Childbirth. 2009;9(1):7
  11. Fitzpatrick C, Halligan A, McKenna P, Coughlan B, Darling M, Phelan D. Near miss maternal mortality (NMM). Ir Med J. 1992;85:37
  12. Pattinson R, Hall M. Near misses: a useful adjunct to maternal death enquiries. Br Med Bull. 2003;67:231–243
  13. Say L, Pattinson R, Gulmezoglu A. WHO systematic review of morbidity and mortality: the prevalence of severe acute maternal morbidity (near miss). Reprod Health. 2004;1:3;http://www.reproductive-health-journal.com/content/1/1/3
  14. Hazelgrove J, Price C, Pappachan V, Smith G. Multicenter study of obstetric admissions to 14 intensive care units in southern England. Crit Care Med. 2001;29:770–775
  15. Harrison D, Penny J, Yentis S, Fayek S, Brady A. Case mix, outcome and activity for obstetric admissions to adult, general critical care units: a secondary analysis of the ICNARC Case Mix Programme Database. Crit Care. 2005;9:S25–S37http://ccforum.com.content/9/S3/S25
  16. Lapinsky SE, Hallett D, Collop N, Drover J, Lavercombe P, Leeman M, et al. Evaluation of standard and modified severity of illness scores in the obstetric patient. J Crit Care, Available on-line November 23, 2010, in press.
  17. Cordingley J, Rubin A. A survey of facilities for high risk women in consultant obstetric units. Int J Obstet Anesthesia. 1997;6:156–160
  18. Riley M, Davey M-A, King J. Births in Victoria 2003–2004: Victorian Perinatal Data Collection Unit. Melbourne: Victorian Government Department of Human Services; 2005;
  19. Pollock W, Nelson S. Core Research Teams: a strategy to research critically ill pregnant and postnatal women. Contemp Nurse. 2002;14:95–105
  20. Knaus W, Draper E, Wagner D, Zimmerman J. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13:818–829
  21. Cullen D, Civetta J, Briggs B, Ferrara L. Therapeutic Intervention Scoring System: a method for quantitative comparison of patient care. Crit Care Med. 1974;2:57–60
  22. Miranda D, de Rijk A, Schaufeli W. Simplified Therapeutic Intervention Scoring System: The TISS-28 items—results from a multicenter study. Crit Care Med. 1996;24:64–73
  23. Fraenkel D, Kiefer G. ANZICS Adult Patient Database, AORTIC Guide, Version 4, Updated 8 March 2006. Melbourne: ANZICS; 2006;p. 10. Available from: http://www.anzics.com.au/uploads/ANZICSAOBook_V4.pdf
  24. Laws PJ, Sullivan EA. Australia's mothers and babies 2003. Sydney: AIHW National Perinatal Statistics Unit (Perinatal Statistics Series No. 16); 2005;
  25. Waters A-M, Dean D, Sullivan E. Assisted reproduction technology in Australia and New Zealand 2003. Sydney: AIHW National Perinatal Statistics Unit (Assisted reproduction Technology Series No. 9); 2006;
  26. Keizer J, Zwart J, Meerman R, Harinck B, Feuth H, van Roosmalen J. Obstetric intensive care admissions: a 12-year review in a tertiary care centre. Eur J Obstet Gynecol Reprod Biol. 2006;128:152–156
  27. George C. Request number 77 ANZICS, Melbourne. Provided April 24, 2006.
  28. Lapinsky S, Kruczynski K, Seaward G, Farine D, Grossman R. Critical care management of the obstetric patient. Can J Anaesth. 1997;44:325–329
  29. el-Sohl A, Grant B. A comparison of severity of illness scoring systems for critically ill obstetric patients. Chest. 1996;110:1299–1304
  30. Karnad D, Lapsia V, Krishnan A, Salvi V. Prognostic factors in obstetric patients admitted to an Indian intensive care unit. Crit Care Med. 2004;32:1294–1299
  31. Mahutte N, Murphy-Kaulbeck L, Quynh L, Solomon J, Benjamin A, Boyd M. Obstetric admissions to the intensive care unit. Obstet Gynecol. 1999;94:263–266
  32. Lewinsohn G, Herman A, Leonov Y, Klinowski E. Critically ill obstetrical patients: outcome and predictability. Crit Care Med. 1994;22:1412–1414
  33. Cohen J, Singer P, Kogen A, Hod M, Bar J. Course and outcome of obstetric patients in a general intensive care unit. Acta Obstet Gynecol Scand. 2000;79:846–850
  34. Afessa B, Green B, Delke I, Koch K. Systemic inflammatory response syndrome, organ failure, and outcome in critically ill obstetric patients treated in an ICU. Chest. 2001;120:1271–1277
  35. Heinonen S, Tyrvainen E, Saarikoski S, Ruokonen E. Need for maternal critical care in obstetrics: a population-based analysis. Int J Obstet Anesthesia. 2002;11:260–264
  36. Mirghani HM, Hamed M, Ezimokhai M, Weerasinghe DS. Pregnancy-related admissions to the intensive care unit. Int J Obstet Anesthesia. 2004;13:82–85
  37. Grisaru-Granovsky S, Shaya M, Hersch M, Samueloff A. Mortality risk assessment of maternal birth complications. Int J Gynecol Obstet. 2004;84:166–168
  38. Vasquez DN, Estenssoro E, Canales HS, Reina R, Saenz MG, Das Neves AV , et al. Clinical characteristics and outcomes of obstetric patients requiring ICU admission. Chest. 2007;131:718–724
  39. Higlett T, Bishop N, Hart G, Hicks P. Review of intensive care resources & activity 2002/2003. Melbourne: ANZICS; 2005;
  40. Pollock W. Obstetric admissions to an intensive care unit. Aust Crit Care. 1994;7(2):31;[abstract]
  41. Garfield M, Jeffrey R, Ridley S. An assessment of the staffing level required for a high-dependency unit. Anaesthesia. 2000;55:137–143
  42. Colleges of Midwives, Obstetricians & Gynaecologists, and Anaesthetists and Paediatrics & Child Health . Safer childbirth: minimum standards for service provision and care in labour. London: Royal College of Obstetricians and Gynaecologists; 2006;
  43. Bench S. Recognition and management of critical illness by midwives: implications for service provision. J Nurs Manag. 2007;15:348–356
  44. National Competency Standards for the Midwife; 2006. Australian Nursing & Midwifery Council. Available at: http://www.nursingmidwiferyboard.gov.au/Codes-and-Guidelines.aspx.
  45. Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer—2003–2005. In:  Lewis G editors. The Seventh Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. London: CEMACH; 2007;
  46. Geller S, Rosenberg D, Cox S, Brown M, Simonson L, Driscoll C, et al. The continuum of maternal morbidity and mortality: factors associated with severity. Am J Obstet Gynecol. 2004;191:939–944

PII: S1036-7314(11)00051-8

doi: 10.1016/j.aucc.2011.03.002

Australian Critical Care
Volume 24, Issue 4 , Pages 218-228 , November 2011

Article Tools

* Image Usage & Resolution