Maternal Referral to a Tertiary Health Centre: Lags and Loopholes
Journal Title: Scholars International Journal of Obstetrics and Gynecology - Year 2018, Vol 1, Issue 4
Abstract
Despite achievements in antenatal health care, the incidence of maternal mortality and morbidity remains high in India. Lack of efficient obstetric services at primary level lead to more referrals. This study addresses scenario of obstetric care in women referred to a Rural Medical College Hospital located in Central India. This was a prospective observational study conducted in a tertiary care Institute in Ujjain, Madhya Pradesh over a period of 1 year from July 2016 to June 2017. Various parameters studied include distance of referral center, time from referral decision to hospital admission, causes for referral, mode of delivery; and maternal and perinatal outcome. Total number of referred cases in study period was 100 which were 6.68% of total deliveries in the hospital. Fifty percent cases were referred from the city District hospital and travelled less than 10 kilometers reaching within 6 hours of referral. Most common cause of referral was preeclampsia (16%) followed by previous cesarean delivery and fetal distress (13%). Fifty two underwent emergency cesarean delivery, 43 had a vaginal delivery and 4 cases were managed conservatively. Perinatal mortality was 13 and 24 required NICU admission. Inspite of financial aids provided by Government of India majority of referrals were from city District hospital indicating lack of efficient operative facilities and emergency obstetric care. Strengthening of infrastructure, qualified medical and paramedical staff of Civil Hospital may help in improving maternal care. Triage at primary centers might help in lessening burden on tertiary centers and also facilitate specific referral.
Authors and Affiliations
Humaeel Abbas Ali, Rinku Kushwaha, Ishita Sharma, K. Mahadik
Keywords
Related Articles
- EP ID EP541026
- DOI -
- Views 44
- Downloads 0
To Study the Risk Factors Associated With Early Onset Preeclampsia and Its Fetomaternal Outcome
The objectives of the study were: a) To identify the different risk factors in Early onset Preeclampsia. b) To study the Fetomaternal outcomes in that group. This was a one year cross-sectional study conducted in the Dep...
Malignant Struma Ovarii: A Case Report
Struma ovarii is an ovarien teratoma which predominantly contains thyroid tissue. Because of its rarety, the diagnosis and the managment of the tumour have not been clearly defined. We report a case of malignant papillar...
Phyllode Tumors: Breast Tumors with a High Potential for Recurrence- About Two Cases
Phyllodes tumors of the breast are rare fibroepithelial tumors in their malignant form, the gravity lies in high risk of local recurrence. We report two observations of patients admitted for the management of local recur...
A Prospective Study of Diagnostic Hysteroscopy in Abnormal Uterine Bleeding and its Correlation with Histopathology in Rural Tertiary Care Hospital of Central India
Abstract:Abnormal uterine bleeding is the most common complaint in gynecology. Dilatation and Curettage is a blind procedure.Hysteroscopy has ushered in a new era in the evaluation of abnormal uterine bleeding. By direct...
Study of the Discordance of the HR / HER2 Status between Primary Tumor and Metastases of Breast Cancer Conducted at the Aerospace Medical Center of Rabat and Comparison with Literature Data
Therapeutic modalities for metastatic breast cancer have not stopped progressing in recent years, in particular hormonotherapy targeting hormonal receptors (HR), and targeted therapies targeting Human Epidermal Growth Fa...