Maternal outcome in obstetric cases referred to tertiary referral center
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 6, Issue 2
Abstract
Background: Maternal outcome in Obstetric emergencies is adversely affected by lack of transport facilities, delay at various levels, result in adverse outcome. Timely identification of high risk cases and their prompt referral to a tertiary referral centre may improve the feto-maternal outcome. Aim: To evaluate referred obstetric cases and its maternal outcome. Material and Methods: All pregnant cases referred to tertiary care centre un-delivered or delivered or aborted or within 42 days after termination of pregnancy were studied in the form of referred from, medical personal accompanying, mode of transport, distance of referral center, time required to reach the institute, treatment given at institute and maternal outcome. Results: Most of these referral patients were in undelivered state 931 (91.27%) cases and 89 (8.73%) cases were referred in postpartum period. Maternal mortality rate was 10.65/1000 live birth in referred cases. The most common cause of death was maternal haemorrhages with shock followed by preeclampsia and eclampsia and medical diseases. Conclusion: Health education to community, better antenatal care up to grass root level, better transport facility and availability of specialist in field of obstetrics at referral unit, will definitely reduce maternal and perinatal morbidity and mortality.
Authors and Affiliations
Vidya R Tirankar, Pradeepkumar Sandipan Jadhavar, Sujit Naikal
Keywords
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