STUDY OF MATERNAL AND PERINATAL OUTCOME IN REFERRED OBSTETRICS CASES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 26
Abstract
[b] OBJECTIVE[/b]: To review the referred obstetric cases for reason of referral and to study the maternal and perinatal outcome. DESIGN: Prospective Observational study. [b]STUDY [/b][b]POPULATION[/b]: 380 cases referred from periphery to tertiary care institute in one year duration.[b]METHODS: INCLUSION CRITERIA[/b]: All referred ANC cases to our tertiary care institute >20 weeks gestation. The total number of deliveries during this period were 11106. The total number of referred cases in above study period was 1980. Out of these 1520 met the inclusion criteria & according to the sample size calculated 380 cases were selected for the study. Selection of cases were done by systematic sampling technique.[b] RESULTS[/b]: The proportion of referral cases to the tertiary care institute is 17.83%. Majority (42.37%) of referred cases were from district level hospitals showing lacunae in the emergency obstetric care given at the district level hospitals. In present study, there was unavailability of ambulance in 65.26% of cases for transport. Most (92.89%) of the patients were not accompanied by any medical assistance during transport. Major complication during immediate postpartum period was postpartum hemorrhage (19.99%). In our study, 31.84% of the patientsrequired blood/blood products transfusion. There were 3(0.79%) maternal mortalities in present study & behind these there were total 70(18.42%) near miss cases which provide valuable information on the quality of antenatal care at the periphery. 54.87% of all neonates had low birth weight in this study. In present study, 45.90% babies were preterm. Total NICU admission rate was14.36%. Neonatal mortality documented in present study was 5.38%.[b]CONCLUSION[/b]: The present study has shown that improper antenatal & intranatal care at the periphery level is responsible for poor maternal & perinatal outcome. Rural women have very poor access to MCH services. There is lack of Transportation facilities for referral patients & they have to travel a longer distance to seek emergency obstetric care. Even today, obstetric hemorrhage is the leading cause of maternal mortality.
Authors and Affiliations
Umesh Sabale, Alka Patankar
Keywords
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- EP ID EP127854
- DOI 10.14260/jemds/2015/643
- Views 113
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