{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T04:48:38Z","timestamp":1782881318014,"version":"3.54.5"},"reference-count":38,"publisher":"Scientific Scholar","content-domain":{"domain":["ijmr.org.in"],"crossmark-restriction":true},"short-container-title":["Indian J Med Res"],"abstract":"<jats:sec>\n<jats:title>Background &amp; objectives<\/jats:title>\n<jats:p>Obstetric patients often need admission to intensive care units (ICUs). The data on these patients are scarce and heterogeneous. We studied the profile of obstetric patients admitted to our ICU.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>The records of obstetric patients admitted to the ICU at the Government <jats:italic>Lalla Ded<\/jats:italic> Hospital, Srinagar, Jammu and Kashmir, India, dedicated to obstetrics and gynaecology patients, were analysed retrospectively from March 2022 to February 2023.This included demography, co-morbidities, pre-admission surgeries\/procedures, clinical characteristics, and outcomes (death\/discharge\/transfer).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Out of 525 obstetric ICU patients, the majority were admitted for obstetric causes (94.66%) and after surgery (84.38%), mostly (66.59%) after caesarean section (CS). Hypertension (35.23%) and anaemia (32.76%) were the most common co-morbidities. The majority were admitted for hypertensive disorders of pregnancy (HDP; 34.47%) or post-partum haemorrhage (PPH; 24.71%) or complications. Only two per cent of CS and one per cent of vaginal delivery (VD) patients needed ICU admission. The maternal ICU mortality rate was 6.53 per cent (0.15% of total deliveries). Only 6.66 per cent needed transfer to non-obstetric or multi-specialty care. Admission with heart disease [Hazard ratio; HR=8.26, 95% Confidence interval (CI)=0.01-67.17,<jats:italic>P<\/jats:italic>&lt;0.05], after intra-uterine foetal death (IUFD; HR=5.17, 95% CI=1-26.75, <jats:italic>P<\/jats:italic>&lt;0.05), or after laparotomy for ectopic pregnancy (EP; HR=50.2, CI=1.43-1766.87, <jats:italic>P<\/jats:italic>&lt;0.05) and need for invasive mechanical ventilation (IMV; HR=35.5, CI=3.14-401.75, <jats:italic>P<\/jats:italic>&lt;0.05) or inotropic support (IS; HR=12.06, CI=1.96-74.19, <jats:italic>P<\/jats:italic>&lt;0.05) increased while admission after VD (HR=0.10, CI<jats:italic>=<\/jats:italic>0.01-0.73, <jats:italic>P<\/jats:italic>&lt;0.05) decreased mortality risk.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Interpretation &amp; conclusions<\/jats:title>\n<jats:p>HDP and PPH were the most common maternal presentations in obstetric ICUs. Maternal mortality was low. Patients with heart diseases, IMV\/IS requirement, and those admitted after IUFD or laparotomy for EP had increased, while patients admitted after VD had decreased mortality risk in the ICU.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/ijmr_1081_2024","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T09:52:15Z","timestamp":1745401935000},"page":"278-286","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Maternal demography, clinical characteristics, &amp; outcomes at an obstetric intensive care unit of a tertiary-care teaching maternity hospital in the Kashmir Valley"],"prefix":"10.25259","volume":"161","author":[{"given":"Elias","family":"Mir","sequence":"first","affiliation":[{"name":"Department of Chest Medicine, Sher-i-Kashmir Institute of Medical Sciences Medical College, Srinagar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shazia Ashraf","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Government Lalla Ded Hospital, Government Medical College, Srinagar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perveena","family":"Fareed","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Government Lalla Ded Hospital, Government Medical College, Srinagar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huzaifa","family":"Ashraf","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Government Lalla Ded Hospital, Government Medical College, Srinagar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fehim Jeelani","family":"Wani","sequence":"additional","affiliation":[{"name":"Faculty of Agriculture, Sher-e-Kashmir University of Agricultural Sciences and Technology - 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