English

Abstract

AIM: To evaluate the obstetric referrals to the tertiary center in the current year and to compare the data to the referrals 20 years ago. MATERIALS AND METHODS: This is a retrospective analysis under taken in the Department of OBG, for a period of six months in 2012-13 at King George Hospital Visakhapatnam. Data from Medical records during the same months in 1992-1993 were obtained. Data of 2012-2013 is considered as group-B and data of 1992-1993 as group-A. Both are analyzed and compared. RESULTS: Referrals of group- B constituted 51.76% of all the emergency admissions, of which 69.30% were antenatal women. 51.68% were referred in the night between 8pm-8am. 90.84% were referred from government institutions. Maternal deaths were three and perinatal mortality 35.2%. DISCUSSION: Referrals in the last 20 years increased from 31.64% to 51.76%. In group-B 69.30% were antenatal where as in group A, 81.31% of referrals were in labour. Almost all women were referred in the night in group A. Perinatal mortality in group-A was higher (42.54%). CONCLUSION: Under NRHM, and through EmOC program the medical officers of PHCs are trained and infra-structure is being up graded. Hence high risk obstetric women are being identified and are referred earlier. 38.49% of the women are referred only for conduct of c-section from CHCs and area hospitals in the recent times, where facilities for c-section are supposed to be available. Problems in performing C sections in these centers have to be addressed.