DOI: 10.36347/sjams.2015.v03i05.029

Pages: 1941-1945

The study was prospective analysis of the health status of unbooked emergency admission of antenatal & postnatal women at tertiary care setting, JLN Hospital & Research Centre, Bhilai. The condition on admission of all unbooked emergency antenatal and postnatal women, to department of obstetrics and gynecology, and their feto-maternal outcome were noted and analyzed. Among 2068 emergency unbooked admissions, 46.48% were from rural areas and rest from semi urban areas. 48.2% of cases were referred from private hospitals or primary health centre. Among referred cases 69.2% received services within 12 hours of referral as compared to 95.6% of cases who came directly. 82.85% had to arrange private means of transport while 15.71% had their own vehicle. Ambulance was provided for 1.42% of cases only. Maternal mortality ratio in our hospital was 4.69/1000 live birth. 44.44% deaths were within 24 hours of admission and direct causes were postpartum hemorrhage, eclampsia and septicemia. 20.6% perinatal deaths were due to prematurity followed by toxemia 4.6%. Delay in decision to seek care, to reach medical facility & to receive care at first health unit are the main causes of maternal & perinatal deaths.