Study of feto-maternal outcome in referred obstetric cases in tertiary care center in Rajasthan: a cross sectional study


  • Ghyan Prakash Department of Obstetrics and Gynecology, JK Lone Hospital Kota, Rajasthan, India
  • Pooja Meena Department of Obstetrics and Gynecology, RNT Medical College, Udaipur, Rajasthan, India
  • Suman Meena Department of Obstetrics and Gynecology, JK Lone Hospital Kota, Rajasthan, India
  • Seema Bariya Department of Obstetrics and Gynecology, JK Lone Hospital Kota, Rajasthan, India



MMR, NMR, Referral emergencies, PPH, Feto-maternal outcome


Background: Pregnant women are at high risk for life threatening complications throughout the pregnancy and during delivery as well. Most of these complications are unpredictable with routine clinical examination. Skilled medical interventions such as blood transfusion, caesarean delivery, expert surgical team, medicines etc. are required to prevent these complications. Emergency obstetric referral should be carried out to avoid maternal and fetal morbidity and mortality. Aims and objectives of current study were to investigate the pattern of referral in tertiary care center and fetomaternal outcome in referred cases.

Methods: This is a observational study conducted in the department of obstetrics and gynaecology, at a tertiary care hospital. Patients are referred from nearby PHCs, CHCs, SDHs and private hospitals. All referred antenatal and intra-natal patients to our center of >24 weeks of gestational age were studied.

Results: Majority of them 43% women were of 21-25 year of age, 35% women were of 26-30 year of age group. Out of 76 delivered women, 55% underwent caesarean section and 36.84% were delivered normally. PPH seen in 6.66% patients, maternal deaths reported 2.5%, septicaemia 1.6%, wound gaping in 3.33%, puerperal pyrexia in 5% of patients. 77% neonates were shifted to mother-side, whereas 18% were admitted to NICU.

Conclusions: Referral system is an important part of health care system. By providing good antenatal care, availability of blood products, well organized referral center, timely identification and referral of high-risk patients, skilled birth attendants at time of child birth all will help in reducing feto-maternal morbidity and mortality and will help in achieving goal of ideal MMR and NMR.w


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