Study of Maternal and Fetal Outcome of Patients Referred In Third Trimester of Pregnancy at Tertiary Care Hospital
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 7
Abstract
To describe the perinatal and maternal outcomes in patients referred to a Tertiary care hospital, and to evaluate the impact of delay on the fetomaternal outcomes. The Study design isProspective Observational study.The Settings inDepartment of Obstetrics and Gynaec, of Smt. NHL municipal medical college, Smt. S.C.L. Municipal Hospital.The Duration isSeptember 2012 to September 2014. The Methodology is100 patients referred to our unit in emergency were included in our study. A detailed proforma, including history and examination, Investigations, source and reasons for referral, mode of delivery, maternal outcome, perinatal out-come, maternal complications and their management.The results areA Total number of 100 obstetric patients was referred during ourstudy period. 06% of cases were referred from Dai’s, 61% from Primary health care units and 33% from private hospitals The main cause of referral was anaemia (15%) followed by previous caesarean section (12%),Pregnancy Induced Hypertension(11%),Me conium Stained Liquor (10%),Premature Rupture Of Membrane (9%),Oligohydroamnios(6%). Maternal mortality was 2%. Other maternal complications were PPH (6%), post-partum fever (18%), uterine rupture (2%), and pulmonary oedema (1%).Total live birth were 95% and 5% were still birth. In conclusion the Referral rates to tertiary care center are rising continuously. Repeat Caesarean Section and meconium stained liquour, are the top most reasons. Delay in referral is a big contributory factor for adverse maternal and perinatal outcomes. There is an urgent need of provision of 24 hrs emergency Obstetric care system with alert transportation readily available to women in need. Keywords: Maternal mortality ratio (MMR), perinatal mortality rates, Caesarean Section. Ante partum haemorrhage (APH), Post partum Haemorrhage (PPH), Non progress of labour (NPOL)
Authors and Affiliations
Dr. Vaishali Panchal, Dr. Shuchi Patel
Keywords
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