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
Related Articles
- EP ID EP127854
- DOI 10.14260/jemds/2015/643
- Views 111
- Downloads 0
ACUTE EVENTS THAT LEAD TO LUMBAR DISC PROLAPSE- A STUDY IN A TERTIARY CARE CENTRE IN EASTERN INDIA
BACKGROUND Lumbosacral Radiculopathy is one of the most common disorders treated by neurologists and spine surgeons. Intervertebral disc herniation is the most common cause of lumbosacral radiculopathy in patients under...
HIV POSITIVE MOTHERS; ISSUES AND CONCERNS: A QUALITATIVE STUDY
[b]OBJECTIVES:[/b] To get an insight into: 1. Perceived health needs and demands of positive mothers. 2. Constraints and barriers in accessing health services. 3. Impact of positive status on social and economic enti...
A PROSPECTIVE STUDY ON TOTAL KNEE ARTHROPLASTY OUTCOMES IN NORTH OF IRAN
BACKGROUND Total knee arthroplasty is one of the suitable procedures to treat the patients with severe knee arthritis. The aim of this study was to evaluate the outcomes of total knee arthroplasty in Babol, northern Iran...
DISSOCIATIVE AMNESIA WITH DISSOCIATIVE FUGUE- A CASE REPORT WITH 1-YEAR FOLLOWUP
PRESENTATION OF CASE A 53-year old man had gone missing for six months and therefore was evaluated to ascertain psychiatric fitness before joining work. On workup, he was found to be educated upto Class 9, a regular empl...
ANGIOGRAPHIC PROFILE IN WOMEN WITH CORONARY ARTERY DISEASE
BACKGROUND Coronary artery disease is the leading cause of morbidity and mortality among women as well as men in the industrialised world. Women represent 60 percent of those over the age of 65 years in the United States...