Aim: To analyze the requirement of HDU in Obstetric patients having Medical disorders & Intraoperative/ Intrapartum complications & Postoperative/Postpartum complications.

Study Design: It is a retrospective study conducted at DY Patil hospital, Kolhapurfrom June 2020 to June 2021, in the department of Obstetrics & gynecology.

Methods: All the patients having associated Medical disorders, Intraoperative complications, Postoperative complications were admitted in HDU. Interventions required in HDU, duration of stay and outcome of the patient were collected & results were analyzed.

Results: Out of 1967 deliveries, 144 patients required admission in HDU. Among Obstetric causes requiring HDU, Hypertensive disorders in pregnancy is the leading cause for HDU admissions. Among Non-Obstetric causes requiring HDU, Anemia in Pregnancy is the leading cause for HDU admissions.

Conclusion: Regular ANC checkups, detection of high-risk pregnancies, proper antenatal care, early referral of high-risk pregnancies, correction of modifiable causes of high-risk pregnancies (Anemia) can reduce maternal morbidity and mortality. Introduction of High dependency unit & multidisciplinary approach in managing patients has brought down the maternal mortality in the Tertiary care referral centre.