Nutrition in the Critically Ill Obstetric Patient
Nutrition in a critically ill patient is a challenge in itself; altered metabolism in pregnancy with the superadded stress of critical illness makes the scenario more complex, vis-a-vis catering to adequate fetal nutrition for optimal growth of the fetus. Different phases of critical illness, representing varying metabolic states from high fuel demand catabolic state to a more steady plateau phase and into a prolonged anabolic state, should be borne in mind while planning nutritional support; customized nutritional plans have to be catered to in specific overlapping scenarios with pregnancy as in acute renal failure and inflammatory bowel disease. Judicial use of enteral vs parentral nutrition can optimize nutrition and minimize complications. The implications of nutritional support in CIPP extend beyond the horizon of mere provision of calories but maintaining the metabolic milieu of pregnancy catering to the needs of both the mother and her unborn fetus and combating the critical illness.
KeywordsRenal Replacement Therapy Critical Illness Enteral Nutrition Nutritional Support Short Bowel Syndrome
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