title: Evaluation of obstetric admissions to intensive care unit of a tertiary referral center in coastal India.
abstract: OBJECTIVE
  To evaluate the occurrence, indications, course, interventions, and outcome of obstetric patients admitted to the intensive care unit (ICU).
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  ICU of a Medical College Hospital.
  
  
  METHODS
  The data collected were age, parity, obstetric status, primary diagnosis, interventions, and outcome of obstetric patients admitted to the ICU from Jan 2005 to June 2011.
  
  
  RESULTS
  Total deliveries were 16,804 in 6.5 years. Obstetric admissions to the ICU were (n = 65) which constitutes 0.39% of deliveries. Majority of the admissions were in the postpartum period (n = 46, 70.8%). The two common indications for admission were obstetric hemorrhage (n = 18, 27.7%) and pregnancy related hypertension with its complications (n = 17, 26.2%). The most common intervention was artificial ventilation (n = 41, 63%). The mortality among obstetric admissions in the ICU was (33.8% (22/65)). The patients appropriate for High Dependency Unit (HDU) care was (32.3% (21/65)). The statistical analysis was done by fractional percentage and Chi-square test.
  
  
  CONCLUSIONS
  Hemorrhage and pregnancy-related hypertension with its complications are the two common indications for ICU admissions. The need for a HDU should be considered.
authors.affiliation: Department of Obstetrics and Gynecology, Father Muller Medical College, Mangalore, Karnataka, India.
authors.forename: Poornima B
authors.initials: PB
authors.lastname: Ramachandra Bhat
authors.forename: Mahesha H
authors.initials: MH
authors.lastname: Navada
authors.forename: Sujaya V
authors.initials: SV
authors.lastname: Rao
authors.forename: G
authors.initials: G
authors.lastname: Nagarathna
keywords: Hemorrhage; intensive care unit; maternal death; maternal morbidity