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Outcomes of high-risk obstetric patients referred to the anaesthetic clinic
Abstract Number: 191
Abstract Type: Original Research
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.
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