文章基本信息

标题：Obstetric Referrals: Scenario at A Primary Health Centre in Gujarat
本地全文：下载
作者：Hiteshree C Patel ; Birender B Singh ; Mahua Moitra 等
期刊名称：National Journal of Community Medicine
印刷版ISSN：0976-3325
电子版ISSN：2229-6816
出版年度：2012
卷号：3
期号：4
页码：711-714
出版社：National Journal of Community Medicine
摘要：Background: Pregnancy and childbirth is associated with health risks for both the mother and child. Timely and prompt referral service has been identified as one of the effective strategies to combat related risks and adverse outcomes. In rural areas, this problem is compounded by multiple factors and referral often plays a key role to ensure favorable outcome. Objectives: Documentation of common indications & identification of constraints related to referrals in pregnancy related cases in a PHC of Gujarat. Methodology: Secondary data analysis of referral slips of referred cases from one PHC, Gujarat was done. Referral slips between 2004 and 2009 were analyzed. A total 155 pregnancy related referrals were made during this period. Results: Referral rate was 15.2%. The average age of women was 23.46±4.1 years, 12.2% women belonged to the high risk age group and 5.8% women were grand multipara. Referrals were nearly equally distributed between OPD and emergency hours highlighting the need for 24X7 services at the PHCs. Majority of referrals were during the intranatal period (64.5%), followed by antenatal cases (23.9%) and postnatal cases(11.6%). The common reasons for referral were non progressive labour (14.8%), severe anemia (10.3%), pre-eclampsia (10.3%), malpresentation (9.7%) and postpartum hemorrhage (9.7%). Out of 62.6% who required pre-referral treatment, 43.3% didn’t get pre-referral treatment. Majority of pre-referral treatment were not given in intranatal period (58.9%). Conclusion: This study recommends the development of a standard referral protocol, proper training in this regard and universal adherence to this in practice.
关键词：Obstetric referrals; Primary health center