Maternal and fetal outcomes of emergency obstetric referrals to a Nigerian teaching hospital
Maternal and fetal outcomes of emergency obstetric referrals to a Nigerian teaching hospital
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DOI：
10.1177/0049475517735474
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发表时间：
2018-04-01
期刊：
影响因子：
0.6
通讯作者：
Ekele, Bissallah A.
中科院分区：
文献类型：
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作者：
Akaba, Godwin O.;Ekele, Bissallah A.
我们的研究试图确定紧急产科转诊到尼日利亚教学医院的母婴结局，并评估这些转诊的原因。我们招募了转诊或到产科急诊室就诊的妇女，以处理怀孕、分娩或产褥期的并发症。大多数患者来晚了，他们在转诊机构的平均停留时间为22.25小时。只有9人(7.3%)是由救护车运送的。重度子痫前期和子痫(33例，26.8%)是最常见的产科转诊指征。死产发生率16.4%(20/122)。有11名产妇死亡，紧急转诊死亡率为8.9%。这些紧急产科转诊的孕产妇和胎儿结局都很差，主要原因是出现较晚，除其他因素外，这是转诊系统效率低下的结果。
Our study sought to determine the maternal and fetal outcomes of emergency obstetric referrals to a Nigerian teaching hospital as well as assess reasons for these referrals. We enrolled women referred or who presented themselves to the emergency obstetric unit for management of complications of pregnancy, labour, delivery or the puerperium. The majority presented late, their mean duration of stay at the referring facility being 22.25 h. Only nine (7.3%) were transported by ambulance. Severe pre-eclampsia and eclampsia (in 33, 26.8%) were the commonest obstetric indications for referral. Stillbirths occurred in 20/122(16.4%). There were eleven maternal deaths, giving an emergency referral fatality rate of 8.9%. Both maternal and fetal outcomes of these emergency obstetric referrals were poor owing mainly to late presentation, this being the result, among other factors, of an inefficient referral system.