Table 2 Diagnoses that may result in intensive care admission during pregnancy and in the puerperium
From: Clinical review: Special populations - critical illness and pregnancy
Pregnancy-related |
   Obstetrical hemorrhage |
Antepartum |
Placental abruption |
Placenta previa |
Placenta accreta |
Postpartum |
Retained placenta |
Failure of uterine contraction |
Trauma |
Coagulopathy |
   Pre-eclampsia |
   Eclampsia |
   HELLP syndrome |
   Acute fatty liver of pregnancy |
   Peripartum cardiomyopathy |
   Sepsis |
Chorioamnionitis |
Endometritis |
   Amniotic fluid embolism syndrome |
Pre-existing diseases that may worsen during pregnancy |
   Neurologic |
Epilepsy |
Myasthenia gravis |
   Cardiovascular |
Valvular disease |
Primary pulmonary hypertension |
Congenital heart disease |
   Endocrine |
Diabetes mellitus |
   Renal |
Acceleration of chronic kidney disease |
Diseases for which the pregnant patient has increased risk |
   Sepsis |
Urinary tract infection (particularly pyelonephritis) |
Listeriosis |
Pneumonia |
   Endocrine |
Diabetic ketoacidosis |
Sheehan syndrome (secondary to peripartum hemorrhage) |
   Pulmonary |
Pulmonary embolism |
Aspiration pneumonitis |
   Hematologic |
Deep venous thrombosis |
Disseminated intracascular coagulopathy |
   Renal |
Acute kidney injury (variety of mechanisms) |
Acute on chronic renal failure |
Diseases that may be co-incidental to pregnancy |
   Trauma |
   Penetrating |
   Blunt trauma |
   Surgical illness |
   Ruptured intracranial aneurysm |
   Appendicitis |
   Cholecystitis |