Pulmonary Embolism During Pregnancy and the Postpartum Period: Incidence, Intensive Care Management and Outcome

Farnaz Moslemi; Sousan Rasooli; Elshan Khoshnevis

E-ISSN : 2148-9696

Crescent Journal of
Medical and Biological Sciences

Main Page Aim and Scope Instructions to Authors Editorial Policies Editorial Board Authorship Agreement Form Open Access and Copyright

Oct 2016, Vol 3, Issue 4

CURRENT ISSUE ARCHIVE AHEAD OF PRINT / ACCEPTED ARTICLE MOST VIEWED ARTICLES NEWS RELATED LINKS

Advanced Search

For Author's & Reviewer's

Committee on Publication
Ethics (COPE) Flowchart

Recommendations for the Conduct

World Association of Medical Editors(WAME)

EQUATOR Resources : Reviewers

Poll

How do you find the scientific quality of the published articles on our web site?

Very good

Good

Fair

Bad

Very bad

Original Article
Pulmonary Embolism During Pregnancy and the Postpartum Period: Incidence, Intensive Care Management and Outcome
Farnaz Moslemi¹, Sousan Rasooli¹, Elshan Khoshnevis²
¹Associate Professor of Anesthesia, Women’s Reproductive Health Research Center, Department of Anesthesia, Alzahra Teaching Hospital, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran ²Medical Research Committee, Azad University of Medical Sciences, Tabriz, Iran
CJMB 2016; 3: 132-135 Viewed : 2845 times Downloaded : 2846 times. Keywords : pulmonary embolism, pregnancy, obstetric ICU
Full Text(PDF) \| Related Articles
Abstract

Objective: Pregnant people pose some challenge to the intensivists and their management is clinically important in the intensive care unit (ICU). Thrombotic events and pulmonary embolism (PE) is one of the most important causes of maternal morbidity and mortality. The aim of this study is to evaluate the incidence, diagnostic approaches, therapeutic interventions, intensive care management and outcome of parturient admitted to obstetric intensive care which were suspected to have PE. Materials and Methods: In this study, all pregnant or postpartum women with the sign or symptoms of PE which admitted to obstetric ICU of Alzahra teaching hospital during 5 years were reviewed. Demographic data, clinical signs or symptoms, diagnostic approaches, patient management and final outcome of the patients were collected, noted and analyzed. Results: Totally 200 parturient with the suspicion to have PE were admitted to ICU during 5 years. Mean age, weight and height of patients were 26.61 ± 4.28 years, 75.24 ± 3.06 kg and 157.87±7.89 cm, respectively. 136 (68%) patients were assessed carefully with imaging techniques and pulmonary emboli PE was ruled out in 124 (62%) patients whose CT was normal and 76 (38%) revealed unilateral (59 patients) or bilateral (8 patients) PE. Mean admission time was 7 days and overall mortality was 2.6% (2 patients). Conclusion: PE is an important cause of pregnancy-related mortality and morbidity and can mimic many other clinical conditions. However, high index of suspicion, accurate diagnostic approaches and timely prophylaxis and therapy can prevent maternal mortality.