ABSTRACT
This descriptive observational study was carried out in Guru Teg Bahadur Hospital to identify predictors and outcome of obstetric admission to Intensive Care Unit (ICU). Ninety consecutive pregnant patients or those up to 42 days of termination of pregnancy admitted to ICU from October 2010 to December 2011 were enrolled as study subjects with selection of a suitable comparison group. Qualitative statistics of both groups were compared using Pearson's Chi-square test and Fisher's exact test. Odds ratio was calculated for significant factors. Low socioeconomic status, duration of complaints more than 12 h, delay at intermediary facility, and peripartum hysterectomy increased probability of admission to ICU. High incidence of obstetric admissions to ICU as compared to other countries stresses on need for separate obstetric ICU. Availability of high dependency unit can decrease preload to ICU by 5%. Patients with hemorrhagic disorders and those undergoing peripartum hysterectomy need more intensive care.
ABSTRACT
The cases which have been presented here have varied presentations but all the three patients in the series had acyclical abdominal pain. Since the uterus is functional there is collection of blood in the pouch formed due to the vaginal septum. This is a potential site for infection and could result in foul smelling discharge. Failure of fusion of lower ends of mullerian ducts that form vagina results in longitudinal vaginal septum. The septum may be partial or complete. The clinical syndrome of double uterus with vaginal obstruction (unilateral, partial or complete) and ipsilateral renal agenesis (same as of the side of obstruction) is rare. This combination is suggestive of embryologic arrest occuring at 8 weeks of pregnancy that simultaneausly affected the mullerian and metanephric ducts.