Obstetric admissions to intensive care units in Nepal_data

Most patients underwent an operative procedure before ICU admission (76.3%), of whom 61.2% had an elective lower-segment caesarean section. Shock (19.1%) and severe pre-eclampsia (14.0%) were the leading reasons for ICU admission. Antibiotics were administered to 88.3% of patients.

Mechanical ventilation was required in 30.0% of patients, vasoactive therapy in 17.9%, and renal replacement therapy in 2.3%. The median ICU stay was 2 days (IQR 1–3), and ICU mortality was 5.4%. Mechanical ventilation and vasoactive therapy were significantly associated with ICU mortality in the univariate analysis.</p><p dir="ltr"><b>Conclusion: </b>This registry study showed that obstetric ICU admissions in Nepal were predominantly postoperative and were mainly driven by shock and hypertensive disorders of pregnancy.

ICU mortality remained low despite severe illness. These findings establish a national benchmark for obstetric critical care in Nepal.</p><p><br></p>