Obstetric conditions requiring intensive care at the Analankininina University Hospital Centre, Toamasina, Madagascar.
RT, A., RLD, E., RF, A., RA, H., HNMO, J., & AT, N. (2026). Obstetric conditions requiring intensive care at the Analankininina University Hospital Centre, Toamasina, Madagascar.. The Pan African medical journal. https://doi.org/10.11604/pamj.2026.53.179.52073
RT A, RLD E, RF A, RA H, HNMO J, AT N. Obstetric conditions requiring intensive care at the Analankininina University Hospital Centre, Toamasina, Madagascar.. The Pan African medical journal. 2026; doi: 10.11604/pamj.2026.53.179.52073
RT A, RLD E, RF A, et al. Obstetric conditions requiring intensive care at the Analankininina University Hospital Centre, Toamasina, Madagascar.[J]. The Pan African medical journal. 2026. DOI: 10.11604/pamj.2026.53.179.52073.
@article{rt2026,
author = {Andriamahefa RT and Ella RLD and Andriatompoina RF and Harson RA and Judicaël HNMO and Nomenjanahary AT},
title = {Obstetric conditions requiring intensive care at the Analankininina University Hospital Centre, Toamasina, Madagascar.},
journal = {The Pan African medical journal},
year = {2026},
doi = {10.11604/pamj.2026.53.179.52073},
note = {PMID: 42662660},
}
TY - JOUR AU - Andriamahefa RT AU - Ella RLD AU - Andriatompoina RF AU - Harson RA AU - Judicaël HNMO AU - Nomenjanahary AT TI - Obstetric conditions requiring intensive care at the Analankininina University Hospital Centre, Toamasina, Madagascar. T2 - The Pan African medical journal PY - 2026 DO - 10.11604/pamj.2026.53.179.52073 AN - PMID:42662660 ER -
The management of obstetric emergencies in the intensive care unit (ICU) requires a multidisciplinary approach. This study aimed to describe the epidemiological and clinical profiles of obstetric patients admitted to the ICU of Analankininina University Hospital Centre (CHUAT). This was a retrospective descriptive study conducted over an 18-month period, from January 1, 2023, to June 30, 2024. A total of 58 obstetric cases were recorded, representing a prevalence of 10.8%. The mean age was 25.29 ± 6.73 years. Hypertension was the most common medical history. Direct admissions accounted for 86.8% of the patients. Postoperative cases constituted the main reason for admission (48%), followed by complications of pregnancy-induced hypertension (26%). Four maternal deaths were reported, mainly due to disseminated intravascular coagulation, septic shock, and hypovolemic shock. The management of critically ill obstetric patients plays a key role in reducing maternal mortality. Establishing a dedicated obstetric and gynecologic ICU would improve access to care for near-miss cases and enhance outcomes.