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• W2079676323 abstract "‘Providing equity of critical and maternity care for the critically ill pregnant or recently pregnant woman’, a multidisciplinary collaboration commissioned by the Joint Standing Committee of the Royal College of Obstetricians and Gynaecologists and the Royal College of Anaesthetists was published in July 2011. 1 Providing equity of critical and maternity care for the critically ill pregnant or recently pregnant woman. http://www.oaa-anaes.ac.uk/assets/_managed/editor/File/RCoA/Prov_Eq_MatandCritCare.pdf; 2011 [accessed April 2012]. Google Scholar The document draws together existing standards of care described by the various expert clinical groups rather than seeking to set out new guidelines, the driver being that critically ill women should “receive the same standard of care for both their pregnancy related and critical care needs, delivered by professionals with the same level of competences irrespective of whether these are provided in a maternity or general critical care setting”. In the UK the number of obstetric patients requiring level 3 care (Table 1) can be estimated fairly accurately from the Intensive Care National Audit and Research Centre data collection but the numbers requiring level 2 care are much less clear. 2 Female admissions (aged 16–50 years) to adult, general critical care units in England Wales and Northern Ireland, reported as ‘currently pregnant’ or ‘recently pregnant’. 1 January 2007 to 31 December 2007. ICNARC. http://www.oaa-anaes.ac.uk/assets/_managed/editor/File/Reports/ICNARC_obs_report_Oct2009.pdf; 2009 [accessed April 2012]. Google Scholar Estimates vary but it is possible that as many as 5% of deliveries may require level 2 care. Having identified such a potentially large number of patients, set out the appropriate standards of care and demanded equity across the board, the document leaves care providers locally with the problem of delivering the service. Table 1Simplified definitions of levels of care Level 0 Normal ward care Level 1 At risk of deterioration, needing extra observations, recently returned from level 2 care Level 2 Requiring invasive monitoring/intervention, single organ failure Level 3 Requiring advanced respiratory support or multi organ failure Open table in a new tab" @default.
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• W2079676323 date "2012-10-01" @default.
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• W2079676323 title "Maternal critical care in the United Kingdom: developing the service" @default.
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• W2079676323 doi "https://doi.org/10.1016/j.ijoa.2012.05.005" @default.
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