Abstract
Objective: The purpose of this study was to describe the characteristics and outcomes of obstetric
patients who require mechanical ventilation. Study design: A review was conducted of obstetric patients who required mechanical ventilation
and who received care at our institutions between 1990 and 1998. Data that were collected
included maternal demographics, medical condition that necessitated ventilation, delivery
status, duration of ventilation, onset of parturition while receiving ventilation,
mode of delivery, and maternal and early neonatal morbidity or death. Results: Fifty-one women were identified; 43 women(84%) received care in the labor and delivery
setting. The most common admission diagnoses were preeclampsia/eclampsia (44%), labor/preterm
labor (14%), and pneumonia (12%). Forty-three women (86%) were undelivered on admission
(mean gestational age, 31.6 weeks). Delivery occurred in 37 women (86%) during their
admission; 24 women (65%) underwent cesarean delivery. Eleven women began labor while
receiving ventilation; 6 were delivered vaginally. The maternal mortality rate was
14% (7/51 women), and the perinatal mortality rate was 11% (4/37 fetuses). Conclusion: A large number of obstetric patients who receive mechanical ventilation will require
delivery because of their condition. Centers that care for such women should form
a treatment strategy to coordinate obstetric and medical care for this unique population
(Am J Obstet Gynecol 2003;188:·549-52.)
Keywords
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Article info
Publication history
Accepted:
September 28,
2002
Received in revised form:
June 18,
2002
Received:
May 6,
2002
Footnotes
☆Reprints not available from the authors.
Identification
Copyright
© 2003 Published by Elsevier Inc.
