ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    A retrospective observational assessment of the baseline pattern of obstetric sonography referrals, indications and findings at tertiary care facility


    Ramesh Chandra Adurti, Dr. Priyanka Adurthy, Dr. Supraja Jonnalagadda
    JCDR. 2023: 316-320

    Abstract

    The aim of the present study was to assess the baseline pattern of obstetric sonography referrals, indications and findings at Tertiary care hospital. Methods: A prospective study was conducted for the period of 1 year, after taking the approval of the protocol review committee and institutional ethics committee. A total of 100 cases were referred to the higher centre due to various reasons. Results: Maximum number of cases in present study were in the age group of 20-30 years comprising 65 (65%) of total cases. Majority of the referral cases were primigravida 48 (48%). Out of 100 referred cases, 90 (90%) delivered, 5 (5%) were treated conservatively. In 5 patients (5%) either abortion occurred or medical termination of pregnancy was done or there was ectopic pregnancy or tears which were managed according to set protocol depending upon the gestational age at diagnosis. Out of the 90 cases who delivered at our institute majority of the babies were delivered 63 (70%) delivered normally, while 27 (30%) underwent caesarean section. In the present study, premature rupture of membranes was the most common cause of referral (17%). This is followed by pre-eclampsia and related conditions (16%) and meconium stained liquor (10%). Previous caesarean sections were the cause of referral in 5% of cases. In the present study, 6% of cases were referred due to non-availability of blood and doctors. 64%, 24%, 12% of the cases were referred to our hospital in their intrapartum, antepartum and postpartum period respectively. Conclusion: Childbirth is a normal physiologic process, but emergencies can arise anytime. The present study has shown that improper antenatal and intranatal care at the periphery level is responsible for poor maternal and perinatal outcome. We concluded that the timely referral is crucial for a satisfactory maternal and fetal outcome. To reduce the number of unnecessary referrals and to reduce burden on tertiary care hospitals, health care workers should be trained in essential and emergency obstetric care which will help in reducing morbidity and mortality.

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    Volume & Issue

    Volume 14 Issue 4

    Keywords