A Prospective Study on the Clinical Spectrum and Outcomes of Obstetric Critical Care Admissions at Konaseema Institute of Medical Sciences, Amalapuram - A Tertiary Care Centre in Coastal India.

BACKGROUND

Managing critically ill obstetric patients is complex due to dual maternal and fetal considerations. In resource-limited settings, delayed referrals from peripheral centres often worsen outcomes.

OBJECTIVE

To analyse the clinical spectrum, management, and outcomes of obstetric patients requiring critical care at a tertiary facility in coastal India.

METHODS

A prospective observational study was conducted over two years, involving obstetric patients admitted to the critical care unit (CCU). Data on demographics, diagnoses, interventions, and outcomes were analysed descriptively.

RESULTS

Most patients were unregistered and referred from peripheral centres. Obstetric haemorrhage and hypertensive disorders were the predominant causes of admission. Respiratory distress was a leading clinical indication. All maternal deaths occurred among referred cases. A considerable number of neonates required NICU care, indicating associated fetal compromise.

CONCLUSION

Strengthening antenatal care, timely referral, and implementing tools like the Modified Early Obstetric Warning Score (MEOWS) can improve maternal and fetal outcomes in critical obstetric cases.