MPH Student, JIPMER International School of Public Health (JISPH), Puducherry, India.
PhD Scholar, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Indian J Public Health. 2023 Apr-Jun;67(2):221-225. doi: 10.4103/ijph.ijph_1124_22.
Referral is a crucial aspect of emergency obstetric care in India. Adequate and timely referrals help to improve the quality of health-care services and maternal and child well-being.
Studies are needed to assess the outcome of obstetric mothers' emergency admissions in relation to referral patterns.
A hospital-based cross-sectional descriptive study was done among obstetric patients admitted to a tertiary care hospital's emergency department (emergency medical service [EMS]). A retrospective cohort was analyzed. The data were entered in Epicollect5 and imported to STATA software version 16 for analysis.
A total of 685 mothers admitted to EMS were selected for the study, with a mean (standard deviation) age of 26.5 years (4.2). Among the study participants, 181 (26.4%) were referred from other institutions, 382 (55.8%) were nonreferral who received antenatal checkups in the tertiary hospital, and 122 (17.8%) were self-referral who had not received any antenatal checkup in the tertiary hospital. The adverse fetal outcome was 1.88 (1.21-2.95) times higher in the referred mothers compared to the self-referral.
We observed that a higher percentage of referrals were from the primary health centers. This kind of direct referral to tertiary care hospitals can be avoided by availing the emergency obstetric services at secondary hospitals to prevent adverse fetal outcomes and unnecessary referrals to the tertiary hospital.
转诊是印度产科急救的关键环节。充分且及时的转诊有助于提高医疗服务质量和母婴健康水平。
需要研究评估与转诊模式相关的产科母亲急诊入院的结局。
这是一项在三级保健医院急诊部（紧急医疗服务 [EMS]）接受治疗的产科患者中进行的基于医院的横断面描述性研究。分析了一个回顾性队列。数据输入 Epicollect5 并导入 STATA 软件版本 16 进行分析。
共选择了 685 名接受 EMS 治疗的母亲进行研究，平均（标准差）年龄为 26.5 岁（4.2）。在研究参与者中，有 181 名（26.4%）来自其他机构转诊，382 名（55.8%）为非转诊，他们在三级医院接受了产前检查，122 名（17.8%）为自行转诊，他们在三级医院未接受任何产前检查。与自行转诊相比，转诊母亲的不良胎儿结局风险高 1.88 倍（1.21-2.95）。
我们观察到，更多的转诊来自初级卫生保健中心。通过在二级医院提供紧急产科服务，可以避免这种直接转诊到三级医院，以预防不良胎儿结局和不必要的转诊到三级医院。
