Maternal outcomes of antenatal and postpartum women admitted to an Intensive Care Unit a one year cross sectional tertiary care hospital based study

Introduction :

Maternal mortality remains a pressing global public health challenge.

Identifying women at risk is of paramount importance

Severe Acute Maternal Morbidity (SAMM) or Near-miss mortality is more common than maternal mortality and is defined as a woman who nearly died but survived a complication that occurred during pregnancy or within 42 days postpartum

International targets under the Sustainable Development Goals aim to reduce the global maternal mortality ratio to less than 70 per 100,000 live births by 2030

Need for the study:

Early recognition of high-risk obstetric patients is crucial for timely intervention, and effective ICU management which can significantly reduce adverse outcomes.

Its a growing need to analyse and understand the reasons for ICU admissions in obstetric populations to improve clinical decision-making, allocate resources effectively and implement strategies for early risk identification.

Data collection procedure:

After admission to the ICU, a detailed history has to be taken from relatives of the patient and also details extracted from available medical records.

Basic demographic details of patients, like age, parity, literacy level, socioeconomic status, and level of delay of the patient, are recorded.

Labour details such as gestational age, obstetric score, Booked or unbooked case, ANC visits, cause of ICU admission, duration of ICU Stay, vaginal delivery or cesarean section or any instrumental delivery, antepartum/intrapartum/postpartum complication leading to ICU Admissions will be noted