Downloads: 1 | Views: 100 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Doctoral Thesis | Obstetrics and Gynecology | India | Volume 12 Issue 3, March 2023 | Rating: 5 / 10

Maternal and Fetal Outcome among Referred Patients to a Tertiary Health Care Center in Solapur, Western India

Dr. Roshani Jain | Dr Prabhakar Gawandi | Dr Vidya Tirankar

Abstract: Background: Referral care in obstetric is important due to the unpredictable emergency that arise during pregnancy with the potential to progress and become life threatening to both mother and child. Maternal and neonatal death can be easily prevented if referral systems are in place that allows pregnant women to reach the appropriate health care service when needed. The present study was conducted with the objective to identify the primary cause of referral and analyze the maternal and fetal outcomes of referred cases. Material and methods: Prospective cross-sectional study was done among antenatal/postnatal mothers referred and admitted as in-patient between 2020 and 2022 in a tertiary care hospital. Universal sampling of patients during the study was period was done and included in the analysis. Results: A total of 9240 delivered was conducted, of which 3973 (42.9%) patients were referred cases. Mean age of referred patients was 23.72 ? 4.7 years with 64.1% of referrals from rural area and 88% belonging to lower socio-economic class. The common causes of referral in the present study were pre-eclampsia (17.3%), previous LSCS (11.6%), meconium stained liquor (10.5%), COVID-19 related (8.4%), malpresentation (6.7%), PROM (6.7%), oligohydramnios (5.6%), eclampsia (5.3%). Majority (58%) patients underwent LSCS. Maternal death documented in the present study was 1.9% due multiple organ dysfunction syndrome with DIC with MODS (55.6%), COVID-19 (17.7%), and septicemia (11.3%). NICU admission and still birth was 22.3% and 0.1% respectively. Low birth weight babies were 54.8%. Conclusion: The proportion of referred cases in our study was very high suggesting the need to provide training to all staff handling referred cases for adequate management.

Keywords: Referral, maternal outcome, fetal outcome, maternal morbidity, fetal morbidity

Edition: Volume 12 Issue 3, March 2023,

Pages: 424 - 428