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Outcome of referred obstetric emergencies at a tertiary centre

Authors:Sowmya Gopinath ,* , Muzamil Shafi , Hema Koppa Ramegowda , Prakash K Mehta
Int J Biol Med Res. 2016; 7(2): 5518-5521  |  PDF File  |  Category: General Articles

Abstract

A prospective study of obstetric emergencies referred to Sri Bhagwan Mahaveer Jain Hospital, Bangalore, a tertiary centre over a span of two years ( September 2007- August 2009)Material and Methods- The Study of the consecutive obstetric emergencies referred to BMJH during the study period – antepartum> 28 wks , intrapartum emergencies and postpartum emergencies upto 6 weeks were taken as the sample. The Sample size was 120 patients. Analysis of the maternal and perinatal outcome of the sample was carried out. Results- There were 84 antenatal, 12 intrapartum and 24 postpartum cases in the study. One hundred and twelve patients were first referrals (93.33%) . The mean age was 26.7 yrs. Nulliparous women contributed the maximum of referrals (51.67%). Hypertensive disorders constituted the maximum referrals (50%). Mean distance travelled was 17.33 kms. Mean transport time was 58.25 min. Patients were intervened appropriately in referring health care centres before referrals. Nursing homes constituted the maximum health care centres. The General Condition of patients were poor in 36.66% patients and the rest were stable. There were 21.66% ICU admissions. There were two maternal mortality that occurred during study period giving the Maternal Mortality Ratio of 18.86/1000 live birth. Fifty eight patients had morbidity. Maternal morbidity was directly proportionate to the time taken by the doctor to refer, distance travelled and time taken to reach the hospital. Perinatal mortality was 187/1000 live births. Both Perinatal mortality and Perinatal morbidity was directly proportionate to the time taken by doctor to refer and time taken to reach hospital, though not statistically significant. There were two maternal mortality that occurred during study period giving Maternal Mortality Ratio is 18.86/1000 live birth. Conclusions: Timely referral and effective management of patients with obstetric emergencies reduces maternal morbidity and perinatal mortality/ morbidity.