ArticleThe Pan African medical journal2026
Obstetric conditions requiring intensive care at the Analankininina University Hospital Centre, Toamasina, Madagascar.
Article in The Pan African medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
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.
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