Journal of Clinical Medicine
Documented Obstetric Haemorrhage in a General Intensive Care Unit in Ghana: Outcomes and the Unadjusted Association Between Recorded GCS and Mortality
By Rex Mawuli Kwadjo Djokoto, Irene Bandoh, Wilfred Sam‐Awortwi and 11 others.
Abstract
Background
Obstetric haemorrhage remains an important cause of maternal death and severe morbidity. Outcomes depend on timely recognition, resuscitation, referral, access to blood and essential treatment, and critical care. This study described the clinical characteristics, documented haemorrhage diagnoses, and ICU outcomes of women admitted with obstetric haemorrhage to the main intensive care unit (ICU) of Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana.
Methods
This retrospective cohort analysis included 79 women with an obstetric haemorrhage-related diagnosis documented in ICU records, drawn from 344 obstetric ICU admissions between 17 July 2022 and 16 July 2023. Demographic and clinical characteristics, ICU treatments, and outcomes were summarized. Survivors and non-survivors were compared using the Wilcoxon rank-sum test and the chi-square or Fisher exact test, as appropriate. Only unadjusted comparisons are reported because the patient-level dataset required for a prespecified admission-only model was not available for analysis.