Publication:
Spectrum of Obstetrics Case Referrals

creativeworkseries.issn1999-6217
dc.contributor.authorGhimire, Asmita
dc.contributor.authorShrestha, Reshika
dc.contributor.authorYadav, Jeshika
dc.contributor.authorThapaliya, Ishwor
dc.contributor.authorSapkota, Sangrila
dc.contributor.authorKhatiwoda, Susmita
dc.contributor.authorOjha, Neebha
dc.date.accessioned2025-07-11T07:44:25Z
dc.date.available2025-07-11T07:44:25Z
dc.date.issued2025
dc.descriptionAsmita Ghimire Department of Obstetrics and Gynaecology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal. https://orcid.org/0000-0002-3739-386X Reshika Shrestha Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal. https://orcid.org/0009-0002-0970-1543 Jeshika Yadav Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal. https://orcid.org/0009-0005-3492-9111 Ishwor Thapaliya Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal. https://orcid.org/0009-0001-4980-0186 Sangrila Sapkota Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal. https://orcid.org/0009-0004-6772-9629 Susmita Khatiwoda Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal. https://orcid.org/0009-0005-0952-1069 Neebha Ojha Department of Obstetrics and Gynaecology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal. https://orcid.org/0000-0003-3518-2425
dc.description.abstractBackground: Maternal health is an important focus for ensuring the well-being of both mothers and their babies. Maternal and fetal mortality which is a burning issue especially in third world countries can be reduced significantly with right obstetric referral. This study reviewed the primary reasons, time, distance, and pattern of obstetric cases referred to a tertiary center. Methods: This descriptive study was conducted after taking ethical approval {Approval number 136 (6-11) E2} from the review board of Maharajgunj Medical Campus, Nepal, and data of three years from 1st August 2020- 31st September 2023 were analyzed from medical records. The study included all referral cases aged 18-45 years who were past 28 weeks of gestation till 42 days post-delivery. Women who had incomplete medical records were excluded from the study. A continuous convenience sampling method was used. The point estimate was calculated at a 95% confidence interval. Results: Among 174 referred cases, 84 (48.28%) were from the government district-level hospitals with the predominant reason being medical disorders complicating pregnancy 136 (78.17%). The majority of cases 94 (54.02%) were referred during the intrapartum period. Conclusions: Medical disorders complicating pregnancy were the primary cause for the referral in obstetrics cases, notably from district-level hospitals having less manpower to deal with those cases. Keywords: Hospital; maternal mortality; obstetric; pregnancy; referrals.
dc.identifierhttps://doi.org/10.33314/jnhrc.v23i01.5316
dc.identifier.urihttps://hdl.handle.net/20.500.14572/109
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleSpectrum of Obstetrics Case Referrals
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage93
oaire.citation.startPage89
relation.isJournalIssueOfPublication710a5a58-3a9b-4cdc-9898-5e7769f7ec25
relation.isJournalIssueOfPublication.latestForDiscovery710a5a58-3a9b-4cdc-9898-5e7769f7ec25
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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