EXPERIENCE OF THE INTENSIVE CARE UNIT OF THE TYUMEN REGIONAL PERINATAL CENTER

Objective. To search for ways of improving the quality of obstetric and anesthesiological care at the regional level, by using the perinatal audit. Material and methods. Cases of hospital admissions to the intensive care unit of the Tyumen Regional Center in 2006 to 2009 were retrospectively analyzed. The study enrolled 47 patients with a critical condition caused by the complicated course of pregnancy, labor, and postpartum. Results. The mean age in the entire group was ascertained to be 28.4±2.6 years. In the age group under 20 years, postpartum critical conditions resulted from eclampsia and preeclampsia. There were no fatal outcomes in this age group. The patients with severe preeclampsia who needed long-term intensive therapy were 21.3%. A wide range of diagnostic and medical measures is necessary for the intensive therapy of severe complications in puerperas, which requires continuous modernization of an anesthesiology service at an obstetric hospital. Conclusion. The study performed shows the efficiency of activities of a consultation center in the issues of obstetrics and anesthesiology, by preventing maternal mortality, enhancing the quality of medical care rendered in the first- and second-line health care facilities, and ensuring the accessibility of high-quality care.

preeclampsia, critical conditions, intensive therapy