Abstract
Objective: To assess the utilization of Obstetric hemorrhage and hypertensive disorders of
HDU, including indications and frequency of pregnancy being the two most common causes for
admissions, clinical management of patients and admissions. There was no maternal mortality and
maternal outcomes. long term maternal morbidity. Neonatal ICU
Methodology: This retrospective cohort study admission rate was 24% and 12% had intra
was conducted at District General Hospital in uterine fetal death.
North East of England. All the patients who were Conclusion: Critical illness in pregnancy and
admitted to HDU/ICU from January 2011 to puerperam is most likely related to obstetric
February 2013 were identified through HDU causes. On site obstetrics HDU can provide
admission register. Data including indications for expert obstetric care and critical care
admissions, duration of stay, clinical management management with additional advantage of
of patients and feto maternal outcomes were midwifery support. (Rawal Med J 201;43:267-
recorded and was analysed using Microsoft Excel. 271).
Results: The rate of HDU admission was 0.58%. Key Words: Obstetrics High dependency care,
91% of patients had obstetrics indications for postpartum haemorrhage, pre-eclampsia.
admission to HDU with major obstetrics