Nagavarapu Sudha, Shridhar Varsha, Kropp Nora, Murali Leela, Balachandra Swathi S, Prasad Ramakrishna, Kilaru Asha
Department of Community Health and Health Rights, Society for People's Action for Development, Bangalore, Karnataka, India.
Department of Maternal and Child Health Research, Bangalore Birth Network, Bangalore, Karnataka, India.
J Family Med Prim Care. 2019 Jul;8(7):2378-2383. doi: 10.4103/jfmpc.jfmpc_308_19.
Pregnancy-related preventable morbidity and mortality remain high in India. Safe delivery services should focus on improving neonatal and maternal outcomes while also enabling a positive childbirth experience. However, high rates of intrapartum obstetric referrals are common.
To describe the timing and the reasons for obstetric referrals to a public tertiary care hospital in Bangalore and characteristics of the referring facilities.
We interviewed 320 women who delivered at the tertiary care hospital within a one-month time frame prior to the interview and who originally planned to deliver elsewhere.
Ninety four percent of women in the study reported that the decision to transfer to the tertiary hospital was made after the onset of labour. Referrals were made for medical as well as non-medical reasons. About a third (35%) had to take loans to cover the expenses of childbirth.
Referrals frequently occurred after the onset of labour. Our data imply that improving obstetric referral protocols will improve the birth experience and reduce the burden on tertiary care facilities and on the women themselves.
在印度，与妊娠相关的可预防发病率和死亡率仍然很高。安全分娩服务应注重改善新生儿和产妇结局，同时也要营造积极的分娩体验。然而，产时产科转诊率居高不下的情况很常见。
描述转诊至班加罗尔一家公立三级护理医院的产科转诊时间、原因以及转诊机构的特征。
我们采访了320名在采访前一个月内在该三级护理医院分娩且原本计划在其他地方分娩的女性。
研究中94%的女性报告称，转至三级医院的决定是在分娩开始后做出的。转诊既有医疗原因，也有非医疗原因。约三分之一（35%）的人不得不贷款来支付分娩费用。
转诊经常在分娩开始后发生。我们的数据表明，改进产科转诊方案将改善分娩体验，并减轻三级护理机构和女性自身的负担。
