Maternal morbidity in an intensive care unit

Abstract

Maternal morbidity requiring intensive care is a critical indicator of the quality of obstetric and gynecological care. The aim of this study was to analyze the structure, causes, and risk factors for critical illness in women hospitalized in the intensive care unit during pregnancy, labor, and the postpartum period. A retrospective analysis of obstetric patient medical records was performed. Study methods included a detailed evaluation of clinical and laboratory data, assessment of organ dysfunction using specialized multi-organ failure assessment scales, and an analysis of the volume of intensive and surgical interventions performed. The study found that the main reasons for transferring women to intensive care include massive obstetric hemorrhage, severe forms of preeclampsia and eclampsia, and purulent-septic complications. The presence of concomitant extragenital pathology significantly exacerbates the underlying illness and increases the length of stay in the intensive care unit. The conclusion underscores that timely referral of high-risk patients, implementation of standardized emergency care protocols, and an interdisciplinary approach can significantly reduce the incidence of multiple organ failure and prevent critical outcomes in pregnant and postpartum women.