Admission Rate, Indications, Maternal Outcomes, and Factors Associated with Mortality Among Obstetric Intensive Care Unit Admissions at a Tertiary Referral Hospital in Tanzania.

Among 1526 obstetric ICU admissions at Muhimbili National Hospital (2019–2023), the obstetric ICU admission rate was 5.2% and maternal fatality was 14%.

• Why it matters: ICU care during pregnancy, childbirth, or puerperium is linked to substantial morbidity, mortality, and downstream sequelae, yet regional admission patterns and mortality drivers in Tanzania remain unclear.
• What they did: In a retrospective cross-sectional review of all obstetric ICU admissions (from 29391 obstetric unit admissions), investigators summarized indications and outcomes and used multivariable logistic regression to find factors associated with maternal mortality.
• The result: Mortality was associated with delivery mode (vaginal delivery vs caesarean: aOR 1.47, 95% CI 1.03–2.11, p=0.036), while ICU stays of 3–4 days (aOR 0.09, P<0.001) and 5–7 days (aOR 0.32, p=0.006) and anticonvulsant use (aOR 0.02, p<0.001) were protective.

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