Objective: The objective of this study was to review the indications for admission, demographics, clinical characteristics, course, interventions and outcome of obstetric patients admitted in intensive care unit of a tertiary care hospital and medical college in India. Methods: It is a retrospective study done on obstetric patients admitted to the ICU in the intensive care unit of VMMC & Safdarjung hospital, New Delhi from Jan 2015 to Dec 2015 over a period of one year. Patients included were critically ill women requiring ventilatory support or major organ supportive therapy admitted during pregnancy as well as in first 6 weeks of the postpartum period. Results: In the study period, Total obstetrics admissions were 33809. 129 obstetric patients were admitted in ICU. Amongst the total ICU admissions 36 (28%) were maternal deaths. Maternal mortality ratio in the present study was 1.4/1000 deliveries. The most common indication was obstetric haemorrhage (31, 24%) followed by pregnancy induced hypertension (30, 23.2%). Mostly women stayed in ICU for 25 days. Conclusion: Early recognition of high risk cases and appropriate referral may improve the clinical outcome.

Keywords: Intensive Care Unit; Maternal Mortality; High Risk Pregnancy.