Obstetric anaesthesia

Obstetric critical care admissions, organ support, and severe maternal morbidity in an Irish tertiary referral centre: a retrospective cohort study (2013−2023)

Int J Obstet AnesthPublished Retrospective cohort study

Authors' conclusion

Obstetric critical care admission was uncommon and usually involved short-duration level 2 care. Sepsis predominated over haemorrhage, contrasting with recent Irish transfer data.

Study context

Population
Pregnant and postpartum women admitted to the critical care unit, Galway University Hospital, 2013–2023
Participants
207 admissions
Outcome
Obstetric critical care admission incidence (per 1000 maternal deliveries)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Admission incidence

Admissions per 1000 maternal deliveries

6.7

Observational data: associations, not effects.

Further findings

Indication for admission

Sepsis
37.2%
Haemorrhage
28.0%

Level of care and organ support

Level 2 care
76.5%
Respiratory support
55.0%
Vasopressor or inotropic support
21.7%
RRT
1.4%

Critical care LOS

Mean LOS (days)
1.9

Temporal trend in vasopressor or inotropic use

Increased significantly over time
P = 0.025

Original publication

Obstetric critical care admissions, organ support, and severe maternal morbidity in an Irish tertiary referral centre: a retrospective cohort study (2013−2023). Int J Obstet Anesth. Published 28 May 2026. doi:10.1016/j.ijoa.2026.105210

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