DOI: 10.36347/sasjs

Pages: 180-185

Pregnant women are at risk of developing complications either due to aggravation of pre-existing disease or due to illness caused by pregnancy. These patients will require ICU admission and critical care management. Despite progress in medical field and improvement in the health facilities maternal morbidity and mortality is still very high in most of the developing nations. The aim is to study and evaluate the occurrence, indications, course, interventions and outcome of obstetric patients admitted to the intensive care unit. It is a retrospective study. The data collected was age, parity, obstetric status, primary diagnosis, interventions and outcomes of obstetric patients admitted to the ICU of a medical college hospital from Jan 2015- Dec 2016. Total deliveries were 2868 in two years. Obstetric admission to ICU were (n=32) which constitutes 1.1% of deliveries. Majority of the admissions were in postpartum period (n=28, 87.5%). The two common indications for admissions were obstetric hemorrhage (n=14, 43.7%) and pregnancy induced hypertension with its complications (n=11, 34.3%). Maternal mortality was (n=3, 9.3%). Critically -ill obstetric patients requirement for ICU is on increase and they require a team effort of the obstetrician, anesthesiologist and intensive care specialist for optimal care. Studying the near miss cases may help to enhance the hospital process for timely and better obstetric and medical interventions