PATTERN OF TERM OBSTETRIC EMERGENCIES REFERRED FROM HEALTH CENTERS TO RIMS

Dr. Shivani Badal, Dr. Gaurav Acharya* and Prof. L. Ranjit Singh

ABSTRACT

Introduction: Lack of specialist services and transport facilities at the periphery further results in delayed referral to tertiary centers, thus increasing the foetal and maternal morbidity and mortality. The present study was undertaken in the Department of Obstetrics & Gynaecology, Regional Institute of Medical Sciences, Imphal to evaluate & analyze the pattern of referral with associated maternal and perinatal outcome of the term obstetric emergencies referred to RIMS hospital. Aims & Objective: To identify the pattern of Obstetric emergency case referral from health centers to RIMS hospital & to evaluate the outcome in these cases. Results: The study includes 153 cases of obstetric emergency referred to RIMS, giving a proportion of referral cases as 0.90%. 101 cases (66.01%) were referred from rural health centers. Maximum referral were from PHCs accounting 76.47% (n=117). Most of the patients utilized local transport to reach the hospital accounting 76.47% (n=117). The total number of births were 150, of which 92% were live births (n=138), still births were 1.33% (n=2), intrauterine deaths were 7.33% (n=11), neonatal deaths were 8.66% (n=13), giving a total perinatal mortality of 17.33%. NICU admission was done in 46 babies (due to birth asphyxia and septicaemia mainly). No maternal mortality recorded. Conclusion: After assessing the condition, it is the need of the hour to strengthen the peripheral health centers with specialists, improve transport facilities for better access to tertiary centers, to create awareness among rural population to avail them and develop attitude & will of the patients to go to the tertiary centre.

Keywords: Safe motherhood, maternal mortality.