European Journal of Molecular & Clinical Medicine

Abstract

Aim & Objective:  to study Maternal and Perinatal Outcome in Emergency Obstetric Referrals in a Tertiary Care Centre.
Material & Methods:  This Prospective observation study was conducted in Labour room , Department of Obstetrics and Gynaecology tertiary care hospital during 1st October 2019 to 30th September 2021.
Inclusion criteria: All cases referred from Government or Private hospitals, who are having referral letter and who deliver in our institute and are willing to participate in the study. In present study we have enrolled 1297 cases during two years.
Observations & Results:  Out of 1297 pregnant women, maximum Pregnant women i.e. 557(43.0%) referred were from the 21 To 25 years of Age-group. The mean age of pregnant women was 26.93±7.37 years. Most Common reason of delay in decision taking‑by relatives in 1060(81.7%) of pregnant women, 121(9.3%) of pregnant women were reported in delay in transportation. Majority of 420(32.4%) of pregnant women were having referral place was District Hospital. Majority of the Pregnant women i.e., 784(60.4%) were referred because there was lack of trained health professional in the referral unit followed by non-availability of ICU and ventilator i.e. 289(22.3%).60(4.7%) of pregnant women observed near miss and 14(1.1%) of pregnant women reported mortality. 324(24.9%) of babies had had Apgar Score of less 7. 303(23.5%) babies had NICU admission, 21(1.6%) were having early neonatal death and 57(4.3%) of babies were still birth.
Conclusion: Timely referral is crucial for a satisfactory maternal and fetal outcome. Health education and awareness by mass media and non-government organisations can improve the health and social status of women in rural areas. Health education and awareness by mass media and nongovernment organisations can improve the health and social status of women in rural areas.