Journal of Family Medicine and Primary Care

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 7  |  Issue : 1  |  Page : 137--141

Audit of emergency obstetric referrals from a secondary level hospital in Haryana, North India


Shashi Kant1, Ravneet Kaur1, Sumit Malhotra1, Partha Haldar1, Akhil Dhanesh Goel2 
1 Centre for Community Medicine, All Institute of Medical Sciences, New Delhi, India
2 Department of Community Medicine and Family Medicine, All Institute of Medical Sciences, Jodhpur, India

Correspondence Address:
Dr. Ravneet Kaur
Room No 32, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi - 110 029
India

Background: The maternal mortality ratio in India is high. An effective emergency obstetric care (EmOC) strategy has been identified as a priority to reduce maternal deaths. Since the capacity of different levels of public health facilities to provide EmOC is varied, an effective referral system is crucial. However, few studies have evaluated the functioning and quality of referral systems in India. A systematic monitoring of referrals helps to identify current gaps in the provision of essential obstetric care. Objective: This study was conducted to identify the medical and logistic reasons for emergency obstetric referrals from a subdistrict hospital (SDH). Methods: An audit of emergency referrals during the period January 2015–December 2015 was carried out. Records of all obstetric patients referred from the maternity ward during the study period were reviewed. Results: The referral rate was found to be 31.7%. Preterm labor (30.6%), pregnancy-induced hypertension (17%), and fetal distress (10.6%) were the main reasons for referral. Deficiencies were found in critical determinants of functionality, that is, nonavailability of emergency cesarean, neonatal care unit, and blood bank. Conclusions: The referral rate at the SDH was high. Lack of workforce and infrastructural facilities led to referrals of women who ought to have been managed at this level of the hospital.


How to cite this article:
Kant S, Kaur R, Malhotra S, Haldar P, Goel AD. Audit of emergency obstetric referrals from a secondary level hospital in Haryana, North India.J Family Med Prim Care 2018;7:137-141


How to cite this URL:
Kant S, Kaur R, Malhotra S, Haldar P, Goel AD. Audit of emergency obstetric referrals from a secondary level hospital in Haryana, North India. J Family Med Prim Care [serial online] 2018 [cited 2020 Aug 9 ];7:137-141
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2018;volume=7;issue=1;spage=137;epage=141;aulast=Kant;type=0