Obstetric Critical Care Units (OCCU)

Obstetric Critical Care Units (OCCU)

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In the absence of complications, pregnancy is a simple and natural process culminating in childbirth and requires little external intervention. However, due to the unpredictability of birth outcome, skilled attendance at delivery is recommended, in or within easy access to a health facility, to enable appropriate management of complications in case of need. It is determined by the doctor whether the patient is normal or obstetrically complicated.

Obstetric patients are generally physically fit, yet they go through catastrophic complications. Even though there is an advancement in the pharmaceutical industry small number maternal morbidity and mortality continue to occur. Changes keep taking place in the maternal physiology to fulfil the needs of her health, fetus and the newborn, during the pregnancy and puerperium.

What is an Obstetric ICU?

It is an ICU which is dedicated to obstetric patients who have developed multi?organ failure which necessitates specialized care by intensivist/ nephrologist/ cardiologist, pulmonologist/ endocrinologist etc

Why is obstetrical care important?

A pregnant woman’s doctor considers all aspects of labor, delivery, and postpartum care suitable for the patient.

At OCCU the doctor knows approximately when the labor begins by understanding the interpreting signs that a woman is approaching labor. One of these signs is when a woman’s “water breaks,” where the fluid-filled sac surrounding the fetus ruptures. Water breaking is not always a sign that woman will go into labor soon, labor can still occur weeks later post breaking of water.

At OCCU Labor may be induced (or started artificially) for a variety of reasons:

  • Due to high-risk factors, such as hypertension, preeclampsia, heart disease, gestational diabetes, or profusely bleeding.
  • If the fetus does not receive enough nutrients and oxygen
  • If the woman’s water breaks, but labor does not start within 24 to 48 hours or if the pregnancy goes beyond 42 weeks

Providing pain relief

  • Analgesics and anaesthetics. Analgesics offer pain relief without total loss of feeling. An anaesthetic blocks all feeling, including pain. Epidural or spinal anaesthesia is often administered by an anesthesiologist.

To decide if a cesarean delivery is needed

  • Cesarean delivery or c-section is the delivery of a fetus through a surgical incision made through the abdominal wall and the uterine wallPostpartum care.

Post delivery care

  • The patient is kept under obstetrical care even post-pregnancy as obstetrical services in the hospital would manage any complications that occur, such as infection, haemorrhage, high blood pressure, blood clot formation, the opening of incisions, or breast problems until 6 weeks after delivery.
  • The woman could be referred for help with postpartum depression or other problems.

Who requires OCCU?

A pregnant woman is more prone to develop life-threatening complications initially or at the final stage of pregnancy without a warning.

This complication of pregnancy and labour are essential of two types? the first set of

At OCCU Labor may be induced (or started artificially) for a variety of reasons:

  • Intensive obstetric care is provided by experts in case of complications like Postpartum Haemorrhage (PPH), Pre?eclampsia/Eclampsia (PE/E) etc.
  • Multiple organ failures and other medical complication cases require help from intensivist and super specialists like nephrologist.
  • OCCUs are also recommended for cases like trauma and accidents where chances of maternal morbidity and mortality are doubled
  • Other complications
  • Multiple pregnancies, development of fibroids and other internal complications in the mother.

Obstetric complications require women to have access to quality maternal health services that can detect and manage life-threatening obstetric complications. These women need 24X7personalized care by skilled experts, essentially led by obstetricians or Emergency Obstetric

The OCCU set-up is managed by the anesthesiologists, but the decision of admitting the patients to OCCU is governed by the obstetric team. All critically ill obstetric patients who require hemodynamic monitoring and vasopressor support, invasive or non-invasive ventilator care and also patients with severe organ dysfunction are admitted to the OCCU. Medical and surgical consultations are taken when required

The process of Shifting of a Patient from Ward to Obstetric ICU is as follows:

  • The consent of the family/companion of a pregnant woman is taken firstly, to begin the procedure.
  • Examination of the current condition and previous medical reports are done thoroughly.
  • Obstetric staff is prepared to depend on the patient’s condition
  • The patient is shifted as it is to the OCCU without disturbing the ongoing treatment.
  • Patient’s medical condition is continuously monitored and follow up is made from time to time.
  • Adequate airway is provided to the patient
  • Baby is shifted along with the mother to the OCCU post delivery if found safe enough for both.

Cost of OCCU service

Childbirth can be a costly process for many households, hence prior financial arrangements are necessary to be made either through savings or through appropriate medical insurance seeking obstetric care. The cost of childbirth is largely determined by the place of delivery and the type of delivery and extent of complications. Costs usually span beyond the medical costs associated with service delivery, to include transport( ambulance) to and fro and time costs as well as unofficial payments associated with care. They can also include costs of neonatal hospital referral in the case of neonatal complications following delivery.

Currae Hospitals understand the importance of providing good obstetric care for obstetric patients. We provide timely assessment and intervention of critically ill obstetrical patients and the provision of separate OCCU care under the supervision of a team of experts involving obstetricians and anesthesiologists at an affordable price.

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RELATED PROCEDURES

caesarean-section1-min

Caesarean Section
A Caesarean is an operation where a transverse incision (a cut) is made through the abdomen and uterus to deliver the baby.

high-risk-pregnancies2-min

HIGH RISK PREGNANCY

High risk pregnancy term is often used for a woman who needs extra care during her pregnancy until delivery. A high-risk pregnancy threatens.

painless-delivery-1-min

PAINLESS DELIVERY

There are various reasons for pain experienced by a woman during their labour or delivery. The pain during labour is caused by the stretching of the cervix, uterus

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Thane – Women’s Hospital (Ghodbunder Road)

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