Overview of Referred Obstetric Patients and Their Outcome in Tertiary Care Hospital

Abstract

The key factors contributing the adverse maternal outcomes are lack of trained birth attendants, lack of education, low status of women in society, poor families, financial dependency of women, and delay in seeking medical treatment. Methodology: The present study was carried out from January 2015 to April 2017 at tertiary care centre. Total numbers of obstetric admissions were 29387 out of which 5215 cases were referred. Data from total number of 5215 referred obstetrics cases was collected retrospectively and analyzed. Results: The proportion of referral cases to our tertiary care institute from periphery was 17.74%. Maximum number of patients were in the age group from 20-30 years (4550 i.e. 87%). Maximum number of patients were unbooked comprising 73.3%. Maximum number of patients (3207) consisting 57.6% were from within Gwalior District. Rest of the cases were from outside Gwalior District. Maximum number of patients referred for anaemia (40.9%) followed by hypertensive disorders (26.6%) and hemorrhage (21.4%). Number of patients delivered vaginally (2506 patients) comprising 48.1% of total cases. 910 cases (17.4%) admitted to obstetric ICU. Maternal deaths were in 114 cases (2.2%) out of total referred cases. Conclusion: Hypertensive disorders (preeclampsia, eclampsia), anemia and hemorrhage (antepartum or postpartum) have been the commonest cause of referral which need to be given special attention. The health care workers at primary centres should be trained properly.