Obstetric units' preparedness to manage critically ill women. The second report from the MaCriCare study

Anaesth Crit Care Pain MedPublished Cross-sectional study

Authors' conclusion

Critically ill obstetric patients have access to markedly different resources in the WHO Europe Region depending on the OU where they are managed.

Study context

Population
Centres with obstetric units (OUs) in the WHO Europe Region, 26 countries
Participants
1,133 responses
Outcome
Availability of 31 distinct services and facilities to diagnose, resuscitate and treat critically unwell obstetric patients
Methodological detailsdescriptive, international, multicentre, survey, Responses corresponded to 2.5 million annual deliveries, September 2021 to January 2022; MaCriCare network of anesthesiologists, intensive care clinicians, obstetricians, critical care nurses and midwives
  • Descriptive
  • International
  • Multicentre
  • Survey
  • Responses corresponded to 2.5 million annual deliveries
  • September 2021 to January 2022; MaCriCare network of anesthesiologists, intensive care clinicians, obstetricians, critical care nurses and midwives

Main finding

As reported in the abstract

OUs lacking point-of-care haemoglobin measurement
13.8%
OUs lacking point-of-care lactate measurement
15.2%
OUs lacking transfusion services
11%
OUs unable to administer hypotensive agent infusions in labour ward
23.8%
OUs without same-building access to cell saver
45.5%
OUs without same-building access to thromboelastometry
64.4%
OUs without access to invasive ventilation
3.4%
OUs without same-building access to NIV
11.7%
OUs without ECMO
38.3%

Observational data: associations, not effects.

Original publication

Obstetric units' preparedness to manage critically ill women. The second report from the MaCriCare study. Anaesth Crit Care Pain Med. Published 23 May 2024. doi:10.1016/j.accpm.2024.101394

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.