A Prospective Observational Study of Maternal and Perinatal Outcome of Referred Patients in Tertiary Care Health Centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Introduction: The referral system is particularly important in pregnancy and childbirth for providing access to Emergency Obstetric Care. Timeliness and appropriateness of referral is an important factor in the ultimate outcome of the patients.1 Linking the primary, secondary and tertiary levels of care are an essential element of primary health care.2 Materials and Methods: Present study was a two years prospective study in the department of obstetrics and gynecology of a PG and UG teaching tertiary care centre, M.G.M Medical College and hospital, Jamshedpur from January 2015 to January 2018. Patients referred to the hospital in third trimester of pregnancy during study period. Exclusion criteria included Post-partum patients, Early pregnancy complications (<28wks), Booked patients at tertiary care centre. Results: After thorough analysis of data following observations are put forwarded: Total no of admissions were 9551 out of which 1468 were the referred cases. The proportion of referral cases to our tertiary care institute from periphery (outside the city) was 15.37%. Maximum numbers of cases in present study were in the age group of 20-30 years comprising 86.98% of total cases. Majority of referral cases were primigravidae that was 766 in number (52.17%). Conclusion: Health education to the community, better antenatal care up to grass root level, emergency intranatal care, availability of services of skilled birth attendants at the time of child birth, well organized first referral center with better transportation facility, availability of blood round the clock, anesthetic facilities and availability of specialist in the field of obstetrics at the referral unit will definitely reduce maternal morbidity and mortality.
Authors and Affiliations
Dr. Karmela Kujur
Keywords
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- EP ID EP430939
- DOI 10.9790/0853-1801026166.
- Views 84
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