Fetal outcome in obstetric cases referred to tertiary referral center
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 6, Issue 2
Abstract
Background: Labour complications have a very strong effect on perinatal mortality complications and increase the risk of perinatal death, which is higher in home deliveries. Delayed referral affect maternal and perinatal outcome adversely, hence the identification of high risk patient and obstetric emergencies with timely referral is important. Aim: To evaluate fetal outcome in obstetric cases referred to tertiary referral center. Material and Methods: All pregnant cases (referred to tertiary care centre) un-delivered or delivered or aborted or within 42 days after termination of pregnancy were included in the study.To know Fetal outcome APGAR score was noted, cause of NICU admission, birth weight along with that follow-up was done. In cases of still birth and early neonatal deaths causes were noted. Results: Out of 931 undelivered patient referred, 845 (90.76%) cases had live births, 72 (7.74%) cases delivered as dead baby due to various reasons. 14 cases aborted (1.5%).Most of babies died had birth weight <1000 gm and mother had complication. Out of total 21 neonatal deaths, 4 babies had RDs, 3 cases were extremely low birth weight. 5 cases developed sepsis during NICU stay. Conclusion: Deliveries in rural areas potentially need emergency obstetric care. Frequent maternal morbidity, and its association with adverse perinatal outcome, suggests need for strengthening peripheral health care systems.
Authors and Affiliations
Vidya R Tirankar, Pradeepkumar Sandipan Jadhavar, Sujit Naikal
Keywords
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