Browsing by Author "Tasew, Asaminew"

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    Factors associated with obstetrics mortality in intensive care unit of Addis Ababa public hospital in, 2020/2021. (A hospital based case control study)
    (Addis Abeba University, 2021-06) Tasew, Asaminew; Melese, Eyayalem(Assistant Professor in Anesthesia); Jemal, Suleiman(Bsc,Msc in Anesthesia)
    Background: Obstetrics mortality in intensive care unit (ICU) is high in low income countries like Ethiopia. The indications of admission are Preeclampsia/ Eclampsia, postpartum hemorrhage, and puerperal sepsis but, patient outcomes subsequent to intensive care unit admission are lacking. Objectives: To assess factors associated with obstetrics mortality in ICUs’ of Addis Ababa Public hospitals, Ethiopia from October 2020 – May 2021. Methods: A hospital based unmatched case control study was conducted on obstetrics patients admitted to Addis Ababa Public hospital’s intensive care unit from October 2018 to November 2020. Data from 75 cases (died) and 150 controls (survived) were collected using simple random sampling technique. Multivariable logistic regression analysis was done; Odds Ratio and Confidence Interval (OR and 95% CI) were computed using SPSS version 26. P value < 0.05 was taken as statistically significant. Result: Obstetrics mortality in intensive care unit was high and accounts 27% from the total ICU admission. Severe pre-eclampsia AOR: 6.33; 95% CI: 2.25-17.79, peurpral sepsis AOR: 4.51; 95% CI: 1.68-12.15, age greater than or equal to ( ≥ 35) AOR: 4.09; 95% CI: 1.42-11.77, absence of antenatal care: AOR: 3.74; 95% CI: 1.03-13.5, maternal coexisting diseases AOR: 5.2; 95% CI: 2.22-12.16, and severe GCS at admission AOR: 3.78; 95% CI: 1.21-11.79 were significantly associated with obstetrics mortality in Addis Ababa Public Hospitals intensive care unit. Conclusion and Recommendation: Advanced maternal age (≥35 years), loss of antenatal care, peurpral sepsis, severe pre-eclampsia, pre-existing medical comorbidities and severe Glasgo coma scale (GCS) during ICU admission were the most significant factors associated with obstetrics mortality in intensive care unit. It is recommended that all pregnant women should have antenatal care so that preeclampsia and maternal comorbidies will be early diagnosed and treated.