A COMPARATIVE ANALYSIS OF OBSTETRIC REFERRALS THAT ARE REFERRED TO THE TERITIARY CARE CENTER
| Autor: | Shailaja Pinjala, Padmavathi Tatavarthi, Chetna Chetna |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Journal of Evolution of Medical and Dental Sciences. 4:1091-1097 |
| ISSN: | 2278-4802 2278-4748 1992-1993 |
| DOI: | 10.14260/jemds/2015/155 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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