Pathologie obstétricale en réanimation. Des généralités aux principes

Critical illness in pregnancy requires a multidisciplinary approach and special skills for the intensivist. Cardio circulatory, respiratory, and neurological failures are the main causes of admission in the ICU, the maternal mortality ranging from 2 to 10% in European countries. In this setting, the pregnancy-induced physiological changes and the particular evolution of many specific diseases increase the risk of diagnostic errors or delay. Fœtal mortality remains very high due to severe prematurity. Physical and psychological maternal morbidity should be decreased by a specific management during the ICU stay, favoring non invasive procedures and facilitating mother and child reunion.