Obstetric patients constitute bulk of referred cases in a tertiary care hospital with wide ranging indications. Pregnancy and childbirth particularly in high risk patients needs proper antenatal care and timely referral to decrease maternal and neonatal morbidity and mortality.
Aim and objectives
1. To study the pattern of obstetrical referral to our hospital along with their clinical course and maternal and perinatal outcome.
2. To study the different variables related to obstetrical referral and to suggest measures for dropping preventable obstetrical referrals.
Material and methods: It was a prospective observational study conducted at a tertiary hospital. All pregnant patients referred to casualty during the study period were enquired about their detailed history, examination was done and their data was compiled and analyzed.
Results: Total admissions during the study period were 2304. Out of this, total referred cases were 556, and among these were 507 antenatal patients. It was observed that there were 260 vaginal deliveries and 102 patients had LSCS. There were 5 maternal deaths. Out of total births, there were 57 NICU admissions.
Discussion: Most pregnant patients have an antenatal period which is free of complications and comorbidities but a certain chunk of patients are there who are at high risk and need special care and management at a well-equipped center.
Conclusion: Proper training of health personnel at peripheral centers and timely identification and referral of high risk patients reduces maternal and perinatal morbidity and mortality.