Overview of Referred Obstetric Patients and Their Outcome in Tertiary Care Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Background: The key factors contributing the adverse maternal outcomes are lack of trained birth attendants, lack of education, low status of women in society, poor families, financial dependency of women, and delay in seeking medical treatment. Methodology: The present study was carried out from January 2015 to April 2017 at tertiary care centre. Total numbers of obstetric admissions were 29387 out of which 5215 cases were referred. Data from total number of 5215 referred obstetrics cases was collected retrospectively and analyzed. Results: The proportion of referral cases to our tertiary care institute from periphery was 17.74%. Maximum number of patients were in the age group from 20-30 years (4550 i.e. 87%). Maximum number of patients were unbooked comprising 73.3%. Maximum number of patients (3207) consisting 57.6% were from within Gwalior District. Rest of the cases were from outside Gwalior District. Maximum number of patients referred for anaemia (40.9%) followed by hypertensive disorders (26.6%) and hemorrhage (21.4%). Number of patients delivered vaginally (2506 patients) comprising 48.1% of total cases. 910 cases (17.4%) admitted to obstetric ICU. Maternal deaths were in 114 cases (2.2%) out of total referred cases. Conclusion: Hypertensive disorders (preeclampsia, eclampsia), anemia and hemorrhage (antepartum or postpartum) have been the commonest cause of referral which need to be given special attention. The health care workers at primary centres should be trained properly
Authors and Affiliations
Dr Nidhi Agrawal
Keywords
Related Articles
- EP ID EP285516
- DOI -
- Views 73
- Downloads 0
TO STUDY THE BIOCHEMICAL AND HEMATOLOGICAL PARAMETERS IN PRE-ECLAMPSIA.
To study biochemical and hematological parameters in pre-eclampsia. Methods: study was performed on two hundred pregnant (primigravida) women of age ranging between 20 to 25 years and having gestational age between 20 to...
Large Splenunculi Mimicking As Mesenteric Cyst
An accessory spleen is a small nodule of splenic tissue found apart from the main body of the spleen. It is also called as supernumerary spleen, splenule, or splenunculus. Present in up to 20% of the population, one or m...
Deteriorating Lung Functions in Traffic Police Working in Amravati Science last three years
Exposure to environmental pollutants can have effects on lungs. A source of air pollution contains different type of gases (hydrocarbons, Carbon monoxide, Lead, Nitrogen oxides) due to by vehicular exhaust due to increas...
Acute Glomerulonephritis with Hepatitis A- A Rare Complication
Hepatitis A is a necrotising disease of the liver, caused by hepatitis A virus. It can manifest clinically as mild illness to fulminant hepatitis. Though considered to be a self limiting illness it can sometimes lead to...
Increasing Trend of Caesarean Rates in India: Evidence from NFHS-4
Background: Caesarean section (CS) rate is increasing worldwide and India is also not excluded from this trend. We present the latest CS rates and trends over the last 23 years in India and its states. Methods: The data...