To Study Clinical Profile and Outcome of Obstetric Patients Admitted in ICU in Tertiary Care Hospital in Western Rajasthan
Abstract: Background: Obstetric patients requiring intensive care represent a small but high-risk group in whom timely multidisciplinary treatment can prevent maternal death. Data from Western Rajasthan are limited. Objective: To describe the clinical profile, indications, interventions, complications, and maternal outcomes of obstetric patients admitted to the intensive care unit (ICU) of a tertiary care hospital. Methods: This prospective observational hospital-based study included 100 pregnant or postpartum women admitted to the ICU from November 2025 to April 2026. Demographic and obstetric characteristics, primary diagnosis, timing of admission, ICU interventions, complications, duration of stay, and maternal outcome were recorded. Categorical data were summarized as frequencies and percentages, and continuous variables as mean and standard deviation. Results: Mean age was 26.4 ± 4.8 years; 68% of participants were from rural areas, 58% were unbooked, and 42% were primigravida. Postpartum admissions constituted 67%, and cesarean delivery was performed in 54%. Hypertensive disorders were the leading indication for ICU admission (38%), followed by obstetric hemorrhage (24%) and sepsis or septic shock (14%). Among hypertensive disorders, severe preeclampsia accounted for 47.4%, while postpartum hemorrhage constituted 66.7% of hemorrhage-related admissions. Blood transfusion was required in 52%, mechanical ventilation in 42%, vasopressor support in 38%, and dialysis in 8%. Acute kidney injury was the most frequent complication (18%), followed by acute respiratory distress syndrome (12%). Mean ICU stay was 5.8 ± 3.6 days. Overall, 85% were discharged from ICU, 8% were transferred after stabilization, and 7% died. Conclusion: Hypertensive disorders, hemorrhage, and sepsis were the major causes of obstetric ICU admission. Early antenatal risk recognition, rapid referral, blood-product availability, and coordinated obstetric-critical care are essential to improve maternal outcomes.
Keywords: Obstetric intensive care; maternal morbidity; hypertensive disorders; obstetric hemorrhage; sepsis; mechanical ventilation; maternal outcome
How to Cite?: Dr. Divya Soni, Dr. Kamlesh Yadav, Dr. Megha Bansal, Dr. Neetu, Dr. Toshan Bunkar, "To Study Clinical Profile and Outcome of Obstetric Patients Admitted in ICU in Tertiary Care Hospital in Western Rajasthan", Volume 15 Issue 9, September 2026, International Journal of Science and Research (IJSR), Pages: 1979-1983, https://www.ijsr.net/getabstract.php?paperid=SR26801005744, DOI: https://dx.doi.org/10.21275/SR26801005744