DOI: 10.36347/sjams.2019.v07i11.040

Pages: 3687-3690

Background: An efficient referral system is essential during Obstetrical Emergencies and Childbirth for providing access to higher levels of care, referral system is an essential component of State Health systems. Aims and Objective: 1). to study the maternal and perinatal outcome in referred antenatal cases. 2) To identify the primary reasons & pattern of Obstetric case referral to our hospital. Material and Methods: It was a Cross sectional observational study of pregnancy outcome of 380 number referred antenatal cases > 28 weeks of gestation in a tertiary care centre referred from various peripheral health care centre, carried out from 1st july 2018 to 30th june 2019. Results: The proportion of referral cases to our tertiary care institute is 26.88%,, 88% of referred cases were from rural areas, 57% of patients referred from distance >50km. 40% patients went to other hospital before attending GMCH, this intermediary referral causes delay in arrival to GMCH, Only 76% of the patient had avail government vehicle for transportation from peripheral centre, 42.26% patients were referred from district level hospital which shows lacunae in providing emergency obstetrics care in secondary level health centre in the state. Major indication of referral to our hospital was hypertensive disorders 21.56% (PIH=18.42+Eclampsia=3.14), followed by previous LSCS 14.47% cases (6.84 %) patient were referred for anemia, (3.95 %) of patients for non-availability of blood. In present study, 35.06% of referred patients delivered vaginally, 55.35% of referred patients delivered by LSCS......................