Maternal and foetal outcome in patients referred to tertiary hospital

Abstract

Objective: To know the incidence of referred patient to Sultaniazanana hospital. To evaluate maternal and foetal outcome in referred patients.To identify lacunae in appropriateness and timeliness of referral and to provide universal referral proforma for all patients referred from various health care facilities.

Methods: The present study was done in Sultaniazanana hospital, Department of Obstetric& Gynecology Gandhi Medical College, Bhopal, to study the referral from within Bhopal with respect to age, parity, place of referral, time of transport used, causes of referral, maternal & perinatal outcome & finally maternal deaths & their causes.

Results: Maximum patients are primigravida and of 20-30 years of age.Majority of patients used private vehicle & only few have been provided with hospital ambulance. Most patients reached Sultaniazanana hospital within 2 hours, which is adequate for management of complications unless the patients is referred timely from the referring site. About 22.11% of patients are referred with no high risk factors & 83.7% of patients are referred during emergency hours.

Conclusion: Early identification, initiation of early treatment and timely referrals are the crucial components for success of any maternal health intervention.Minimizing the causes of delay to emergency obstetric care significantly decrease maternal and neonatal morbidity and mortality.