Aims and objectives: Obstetric complications are becoming increasingly common in the present era, despite profound technological and healthcare advancements. The etiology is multifactorial, and our study aimed to review all obstetric patients admitted to the intensive care unit (ICU) in a Tertiary Referral Center over one year to characterize these patients about frequency, timing, and cause of admission and record the outcomes in terms of perinatal and maternal morbidity and mortality. Materials and methods: All antenatal and postnatal obstetric patients admitted to our center over one year in the ICU were reviewed. Obstetric data included gestational age at the time of admission and delivery, parity, type and place of delivery, indications of operative delivery, need for obstetric hysterectomy, and neonatal and maternal outcomes. Intensive care unit admitting diagnoses were divided into three categories respiratory failure, hemodynamic instability, and neurological dysfunction ICU-related data included the number of days in the ICU and the need for mechanical ventilation. Results: During the study period, the incidence of ICU admissions was 0.99%. Among these patients, 46% were aged 21–25 years. Primiparas accounted for 53%, and 61% had a gestational age of 34–42 weeks. Postpartum admissions to the ICU constituted 92%, with 81% due to obstetric complications, primarily eclampsia, and preeclampsia, which represented 46% of admissions. Medical complications accounted for 19% of admissions, with cardiac diseases being the most significant at 64%. Hemodynamic instability was the leading cause of ICU admission, at 50%, followed by neurologic complications at 33%. Of the ICU-admitted patients, 94% had already delivered, with 34% undergoing lower segment cesarean section and 34% having an obstetric hysterectomy for postpartum hemorrhage. Live births were 37% of all neonates, with 18% admitted to the neonatal ICU and subsequently discharged, and perinatal mortality stood at 39%. The overall maternal mortality rate in the ICU was 37%, predominantly due to hemodynamic shock. Ventilator support was successfully weaned in 51% of patients, who were then discharged. A further 12% were transferred to a higher-level facility, with the average duration of mechanical ventilation being 2 days and 6 hours. Conclusion: Eclampsia and preeclampsia were the leading causes of ICU admission. The leading cause of maternal mortality in the ICU was obstetric hemorrhage. The setting up of a high-dependency unit could lead to a decrease in the number of ICU admissions. Additionally, awareness of the importance of regular antenatal visits could help reduce obstetric complications.