A Study of obstetric referrals-one year experience at a tertiary care centre in West Bengal
Journal Title: Harsukh Educational Charitable Society International Journal of Community Health and Medical Research - Year 2017, Vol 3, Issue 3
Abstract
Background: Referral of high risk antenatal mothers plays a pivotal role especially in a developing country like Abstract India, to reduce the feto-materal mortality. Methods: A prospective observational study was conducted in Medical College and Hospital, Kolkata from 1st May 2014 to 30th April 2015 to include 100 obstetric referral cases which required admission. Results: 47% were in the age group of 20-25 years (mean age: 23 years).Majority of patients (57%, n=57) were primigravidas and came from rural areas (77%, n=77) .70%(n=70) of study population did not have any prior antenatal checkup.34% (n=34) of total referrals were from state govt. hospitals of neighbouring districts followed by 27% (n=27) from rural hospitals. Most of the referred patients were in labour at the time of referral (87%,n=87) .40.2% presented with medical/obstetric complications. The most common indication for referral was patients with previous caesarean section (23% ,n=23), PROM/PPROM (15%,n=15), medical disorders complicating pregnancy (8%,n=8).69% of referred patients required surgical management in the form of LSCS (61%, n=61) and instrumental deliveries (8%, n=8).There was one maternal mortality. Perinatal mortality rate was found to be 11.2% (n=12).Conclusion: 56% (n=56) of referrals to our hospital were unjustified, emphasizing the need for development of strict referral protocols.
Authors and Affiliations
Kamal Narsaria, Partha Mukhopadhya, Amit Kyal, Kirti Agarwal, Avnija Agarwal, Sahil Sanghi
Keywords
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