Abstract
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.