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Obstetric referrals to a tertiary care maternity: a descriptive study
INTRODUCTION: An effective referral system is considered as a key to saving mothers' and children's lives. The aims of this study were to determine the frequency and the indications of obstetric referrals in a Tunisian tertiary care maternity and to assess the conformity of referral mechan...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815507/ https://www.ncbi.nlm.nih.gov/pubmed/31692846 http://dx.doi.org/10.11604/pamj.2019.33.306.16906 |
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author | Ghardallou, Mariem Limam, Manel Khelifi, Abdejelil Khairi, Ons Khairi, Hédi Mtiraoui, Ali NabliAjmi, Thouraya |
author_facet | Ghardallou, Mariem Limam, Manel Khelifi, Abdejelil Khairi, Ons Khairi, Hédi Mtiraoui, Ali NabliAjmi, Thouraya |
author_sort | Ghardallou, Mariem |
collection | PubMed |
description | INTRODUCTION: An effective referral system is considered as a key to saving mothers' and children's lives. The aims of this study were to determine the frequency and the indications of obstetric referrals in a Tunisian tertiary care maternity and to assess the conformity of referral mechanisms with the National Perinatality Programme (NPP) guidelines. METHODS: A descriptive study was undertaken among women referred to Farhat Hached University Hospital in Sousse, Tunisia with antenatal complications requiring urgent delivery and those referred while in labour or with immediate post partum complications. The ICD-10 was used to code recorded indications and diagnoses for referrals. RESULTS: Referrals represents 15.23% of the obstetric activity in this facility. There were 32 reasons for referrals with the most common being premature rupture of membranes (14.1%) and fetal distress (13.5%). A fifth of the referrals were unclassifiable according to ICD-10. Most of the indications for referrals (95.8%) did not conform to the list of referral indications of the NPP. Twenty eight diagnoses were retained after referrals: the most common of which were prolonged pregnancy (29.5%) and premature rupture of membranes (19.3%). In 41% of women, reasons for referral did not match with diagnoses established at the time of the patients' admission to hospital. CONCLUSION: The current referral system in the region of Sousse still faces several challenges that need to be addressed in order to make it more effective. |
format | Online Article Text |
id | pubmed-6815507 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-68155072019-11-05 Obstetric referrals to a tertiary care maternity: a descriptive study Ghardallou, Mariem Limam, Manel Khelifi, Abdejelil Khairi, Ons Khairi, Hédi Mtiraoui, Ali NabliAjmi, Thouraya Pan Afr Med J Research INTRODUCTION: An effective referral system is considered as a key to saving mothers' and children's lives. The aims of this study were to determine the frequency and the indications of obstetric referrals in a Tunisian tertiary care maternity and to assess the conformity of referral mechanisms with the National Perinatality Programme (NPP) guidelines. METHODS: A descriptive study was undertaken among women referred to Farhat Hached University Hospital in Sousse, Tunisia with antenatal complications requiring urgent delivery and those referred while in labour or with immediate post partum complications. The ICD-10 was used to code recorded indications and diagnoses for referrals. RESULTS: Referrals represents 15.23% of the obstetric activity in this facility. There were 32 reasons for referrals with the most common being premature rupture of membranes (14.1%) and fetal distress (13.5%). A fifth of the referrals were unclassifiable according to ICD-10. Most of the indications for referrals (95.8%) did not conform to the list of referral indications of the NPP. Twenty eight diagnoses were retained after referrals: the most common of which were prolonged pregnancy (29.5%) and premature rupture of membranes (19.3%). In 41% of women, reasons for referral did not match with diagnoses established at the time of the patients' admission to hospital. CONCLUSION: The current referral system in the region of Sousse still faces several challenges that need to be addressed in order to make it more effective. The African Field Epidemiology Network 2019-08-19 /pmc/articles/PMC6815507/ /pubmed/31692846 http://dx.doi.org/10.11604/pamj.2019.33.306.16906 Text en © Mariem Ghardallou et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Ghardallou, Mariem Limam, Manel Khelifi, Abdejelil Khairi, Ons Khairi, Hédi Mtiraoui, Ali NabliAjmi, Thouraya Obstetric referrals to a tertiary care maternity: a descriptive study |
title | Obstetric referrals to a tertiary care maternity: a descriptive study |
title_full | Obstetric referrals to a tertiary care maternity: a descriptive study |
title_fullStr | Obstetric referrals to a tertiary care maternity: a descriptive study |
title_full_unstemmed | Obstetric referrals to a tertiary care maternity: a descriptive study |
title_short | Obstetric referrals to a tertiary care maternity: a descriptive study |
title_sort | obstetric referrals to a tertiary care maternity: a descriptive study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815507/ https://www.ncbi.nlm.nih.gov/pubmed/31692846 http://dx.doi.org/10.11604/pamj.2019.33.306.16906 |
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