Document Detail


Maternal mortality associated with adult respiratory distress syndrome.
MedLine Citation:
PMID:  9598851     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Pregnancy-related adult respiratory distress syndrome (ARDS) can lead to maternal mortality and morbidity. METHODS: Records of all pregnant patients diagnosed with ARDS over a 14-year period were reviewed and the cases were stratified into survivors and nonsurvivors. RESULTS: Forty-one cases were identified and 31 survived (maternal mortality rate of 24.4%). Adult respiratory distress syndrome was diagnosed in the antepartum period in 23 (56.1%) of the patients and the majority of these cases occurred in the third trimester (73.9%). There was no statistically significant difference in demographic characteristics, preexisting diseases, or probable precipitating cause for the development of ARDS between the two groups. The cause of death among the nonsurvivors included multisystem organ failure, sepsis, cardiac arrest, and disseminated intravascular coagulopathy. CONCLUSION: Pregnancy-related ARDS continues to be associated with a high maternal mortality rate (25%). Unfortunately, the etiology for ARDS during pregnancy is not predictive of maternal outcome.
Authors:
K G Perry; R W Martin; P G Blake; W E Roberts; J N Martin
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Southern medical journal     Volume:  91     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-05-28     Completed Date:  1998-05-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  441-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson 39216-4505, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cause of Death
Female
Humans
Male
Mississippi / epidemiology
Patient Admission / statistics & numerical data
Pregnancy
Pregnancy Complications / etiology,  mortality*
Puerperal Disorders / etiology,  mortality*
Respiratory Distress Syndrome, Adult / etiology,  mortality*
Retrospective Studies
Risk Factors
Survival Rate
Comments/Corrections
Comment In:
South Med J. 1998 Dec;91(12):1183   [PMID:  9853736 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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