Abstract
Objective- to review the referred obstetric cases for reason of referral and to study the maternal and perinatal outcome. Design- Prospective study. Study period- May 2017 to June 2018. Study population-All obstetric cases referred to the department of obstetrics and gynaecology of Adichuchanagiri Hospital, B G Nagara during the study period. Results- In the present study, maximum number of patients (62.96%) were in the 20- 30 years of age group. Majority of the referral cases were primigravida 65 (48.1%). Out of 135 referred cases, 106 (78.51%) delivered 18(13.3%) were treated conservatively. In 11 patients (8.1%) either abortion occurred or medical termination of pregnancy was done or there was ectopic pregnancy or tears. Out of the 106 cases who delivered at our institute majority of the babies were delivered 65(61.3%) delivered normally, while 41 (38.67%) underwent caesarean section. There were 25 NICU admissions and 81 were healthy babies. Reasons for admission were varied. In the present study, premature rupture of membranes was the most common cause of referral. This is followed by pre-eclampsia and related conditions, and preterm labour being the next common cause.
Highlights
Study population-All obstetric cases referred to the department of obstetrics and gynaecology of Adichunchanagiri hospital and research centre, BG Nagara during the study period
Obstetrical care in the western world is at its peak
The present study has shown that improper antenatal and intranatal care at the periphery level is responsible for poor maternal and perinatal outcome
Summary
Despite progress in medical field and improvement in available health care facilities, maternal mortality is still high in our country [1]. The objective of antenatal care is to detect high risk cases as early as possible from large group of antenatal patients and arrange them for skilled care. Antenatal care, the primary aim of which is to achieve at the end of pregnancy a healthy mother and a healthy child, should be provided to every woman [2]. Referral services for identification and referral of high risk pregnancies are an integral part of maternal and child health services. For a large majority of developing countries this aspect of health system
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