<![CDATA[Objective: To have description and evaluation about obstetric
emergency referral cases at obstetric emergency room of Dr. Cipto
Mangunkusumo Hospital (RSCM) from January until December
2008.
Method: This is a cross-sectional descriptive-analytic study
with 458 secondary data samples from simple random sampling
performed to all obstetric referral cases at obstetric emergency
room of RSCM from January until December 2008. The data were
pro-cessed for frequencies and bivariate analysis, and then further
analyzed with multivariate analysis.
Results: Patientsâ age varied between 16 to 47 years old (27.78
± 6.51). Grandemultiparous women had 51.9% morbidity/mortality
(p = 0.024). Midwives were the majority of referee (73.1%), but
71.1% main obstetric emergency cases were referred by Ob/Gyn.
There were 260 cases corresponded to main obstetric emergency
with 88 cases diagnosed as hypertension. Most of the cases were
referred due to threatened preterm labor (22.5%), with 74.7% reasons for referral were âlack of facilityâ. Most of the cases had no
complete referral record (91% cases had no referral time and 12.4%
cases had no initial assessment). Our hospitalâs mean response time
was 8 minutes. From multivariate analysis, referee (OR for doctors
and Obstetricians 2.751; 95% CI 1.475 - 5.129) and delivery
method (OR for spontaneous delivery 0.412; 95% CI 0.227 - 0.750)
were two most influent variables for obstetric emergency referral
cases outcome. The MMR for this study was 253.2/100.000.
Conclusion: Our referral system is still not efficient. It needs
improvement and continuous input and facility fulfillment.
[Indones J Obstet Gynecol 2010; 34-4: 164-9]
Keywords: referral system, maternal mortality ratio, referral time,
response time]]>
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