Shared Decision-Making Structured Team Model for Critical Maternal Care in OB-GYN ICU

Application of Structured Team Model Based on Shared Decision Model in Obstetrics and Gynecology Joint Intensive Care Unit (ICU) Rescue of Critical Care Pregnant Women

A randomized controlled trial was conducted with 100 critically ill pregnant women admitted to our hospital's obstetrics ICU between January 2023 and December 2024. Participants were allocated via random number table to either the control group receiving conventional multidisciplinary resuscitation care (n=50) or the observation group receiving the structured team model with shared decision-making (n=50). Comparative outcomes included resuscitation efficiency indicators (pre-hospital response time, intrahospital transport duration, emergency supply preparation time), complication rates, family psychological status measured by Hospital Anxiety and Depression Scale (HADS), and family satisfaction assessments

Inclusion Criteria:

• Meeting diagnostic criteria for critical obstetric conditions:

  1. Amniotic fluid embolism
  2. Postpartum hemorrhage
  3. Emergency cesarean section was performed, etc

• Age ≥18 years

• Gestational age >20 weeks

• Patient's family/legal representative capable of normal communication and providing signed informed consent

Exclusion Criteria:

• Pre-existing primary hematologic disorders:
• Fetal congenital anomalies confirmed by prenatal imaging
• Active malignant tumors (except carcinoma in situ)
• Severe organ dysfunction:
• Altered mental status (GCS ≤12) or documented psychiatric disorders