DOI: 10.36347/sjams.2017.v05i07.041

Pages: 2699-2703

The objective of this study was to study the maternal and fetal outcome of the 100 patients referred in the third trimester of pregnancy and to evaluate the impact of delayed referral on fetomaternal outcome. Design was Prospective Observational study. All postpartum patients and patients with early pregnancy complications (<28 weeks) were excluded from the study. In the present study, maximum (57%) cases were referred from PHC/CHC. PIH and Ante-partum haemorrhage were the leading most causes of referral. Requirement of maternal ventilation, acute tubular necrosis, post partum hemorrhage and puerperal fever were responsible for maternal morbidity. In the present study, there were 97 live births and 3 intra uterine deaths. 46 babies required NICU stay and there was a 4% neonatal mortality. Perinatal mortality, perinatal morbidity and maternal morbidity were all directly linked to delay in reaching the referral hospital. There is an urgent need for provision of 24 hours emergency obstetric care system with alert transportation readily available to women in need.