///2011 Abstract Details
2011 Abstract Details2018-05-01T17:54:20+00:00

Outcomes of high-risk obstetric patients referred to the anaesthetic clinic

Abstract Number: 191
Abstract Type: Original Research

Kerry N Litchfield MBChB, FRCA1 ; Kate Slade MBChB2; Steven J Young MBChB, FRCA3

Introduction: Early identification, investigation and planned anaesthetic management may minimise maternal morbidity and mortality in the high-risk obstetric patient(1). We reviewed patients referred to the anaesthetic clinic according to set referral guidelines. A plan for anaesthetic management was made.

Methods: We searched the paper database held for patients referred to the anaesthetic high-risk clinic in 2009. We cross-referenced these with the electronic PROTOS obstetric database to obtain anaesthetic and obstetric outcomes. Data were stored and analysed on Excel.

Results: 369 patients were seen (outcome data missing for 13). 15 (4.1%) required further tertiary referral and investigation. A specific anaesthetic plan was made for 235 (64%) patients and followed for 129 (55%). There were no deaths or admissions to ICU. Maternal outcome post delivery was assessed as worse in 23 (6.5%) cases.

Table: Demographics and outcomes of high-risk parturients referred to the anaesthetic clinic.

Conclusion: The high-risk obstetric patients reviewed at the anaesthetic clinic had a severe maternal morbidity rate below that of the average obstetric population in Scotland(2). This may suggest that timely review and planning for these patients can reduce morbidity.

References:

1. Butwick AJ, Carvalho B. Can we improve maternal outcome for high-risk obstetric patients? Int J Obstet Anesth 2007; 16: 311-3.

2. Scottish confidential audit of severe maternal morbidity. www.nhshealthquality.org/nhsqis/files/SCASMM_REP_APR10.PDF



SOAP 2011