Clinical Outcomes, Incidence, Associated Factors, and Prediction Model of Intensive Care Unit Admission in…

Cohort studyObstetrics and gynecology international· 2026

Clinical Outcomes, Incidence, Associated Factors, and Prediction Model of Intensive Care Unit Admission in Women With Postpartum Hemorrhage Following Cesarean Delivery: A Secondary Analysis of a Tertiary-Care Cohort in Thailand.

Jitsupa Nithiuthai, Tripop Lertbunnaphong, Suneerat Kongsayreepong … Patchareya Nivatpumin

Obstetric AnesthesiaCohort studyQ2IF 2.3

Blood loss over 2200 mL strongly predicts intensive care unit admission after cesarean postpartum hemorrhage

Clinical Outcomes, Incidence, Associated Factors, and Prediction Model of Intensive Care Unit Admission in Women With Postpartum Hemorrhage Following Cesarean Delivery: A Secondary Analysis of a Tertiary-Care Cohort in Thailand.

Jitsupa Nithiuthai … Patchareya Nivatpumin

Obstetrics and gynecology international · 2026

Purpose

We aimed to determine the clinical outcomes, incidence, associated factors, and a predictive model for intensive care unit (intensive care unit) admission among patients with postpartum hemorrhage (postpartum hemorrhage) following cesarean delivery.

Methods

With an estimated blood loss < 1000 mL or incomplete data were excluded.

Results

blood loss over 2200 mL sharply raises the odds of intensive care unit admission

AOR 16.51 (95% CI 7.28 to 37.45)

CI excludes the null - significant

More results

Of 649 eligible patients, 44 (6.78%; 95% CI, 5.09-8.98) were admitted to the intensive care unit.

Emergency cesarean delivery was also predictive (aOR, 2.25; 95% CI, 1.02-4.92; p = 0.043).

The median intensive care unit length of stay was 1 day (IQR, 1-2).

More results

Intensive care unit patients had higher rates of blood transfusion, hysterectomy, and reoperation than non-intensive care unit patients (all p < 0.001).

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Conclusion · 1 of 3

Intensive care unit admission was associated with more severe maternal illness and adverse perioperative outcomes.

Conclusion · 2 of 3

Factors associated with intensive care unit admission included severe blood loss, general anesthesia, earlier gestational age, and emergency cesarean delivery.

Conclusion · 3 of 3

Recognition of these characteristics may facilitate timely escalation of monitoring and multidisciplinary management when severe postpartum hemorrhage occurs. Trial Registration: ClinicalTrials.gov identifier: NCT04833556.

Clinical Outcomes, Incidence, Associated Factors, and Prediction Model of Intensive Care Unit Admission in Women With Postpartum Hemorrhage Following Cesarean Delivery: A Secondary Analysis of a Tertiary-Care Cohort in Thailand.

Clinical Outcomes, Incidence, Associated Factors, and Prediction Model of Intensive Care Unit Admission in Women With Postpartum Hemorrhage Following Cesarean Delivery: A Secondary Analysis of a Tertiary-Care Cohort in Thailand.

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