Obstetric conditions requiring intensive care at the Analankininina University Hospital Centre, Toamasina, Madagascar.

The management of obstetric emergencies in the intensive care unit (ICU) requires a multidisciplinary approach. This study aimed to describe the epidemiological and clinical profiles of obstetric patients admitted to the ICU of Analankininina University Hospital Centre (CHUAT). This was a retrospective descriptive study conducted over an 18-month period, from January 1, 2023, to June 30, 2024. A total of 58 obstetric cases were recorded, representing a prevalence of 10.8%. The mean age was 25.29 ± 6.73 years. Hypertension was the most common medical history. Direct admissions accounted for 86.8% of the patients. Postoperative cases constituted the main reason for admission (48%), followed by complications of pregnancy-induced hypertension (26%). Four maternal deaths were reported, mainly due to disseminated intravascular coagulation, septic shock, and hypovolemic shock. The management of critically ill obstetric patients plays a key role in reducing maternal mortality. Establishing a dedicated obstetric and gynecologic ICU would improve access to care for near-miss cases and enhance outcomes.