Evidence map›Paper›PMID 31463261›Full record

ArticleJournal of family medicine and primary care2019

Reasons for obstetric referrals from community facilities to a tertiary obstetric facility: A study from Southern Karnataka.

Sudha Nagavarapu, Varsha Shridhar, Nora Kropp, Leela Murali, Swathi S Balachandra, Ramakrishna Prasad, Asha Kilaru

Abstract read
In one paragraph

Article in Journal of family medicine and primary care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sudha NagavarapuDepartment of Community Health and Health Rights, Society for People's Action for Development, Bangalore, Karnataka, India.
Varsha ShridharDepartment of Maternal and Child Health Research, Bangalore Birth Network, Bangalore, Karnataka, India.
Nora KroppDepartment of Maternal and Child Health Research, Bangalore Birth Network, Bangalore, Karnataka, India.
Leela MuraliDepartment of Community Health and Health Rights, Society for People's Action for Development, Bangalore, Karnataka, India.
Swathi S BalachandraDepartment of Family Medicine, Patient Centred Medical Home (PCMH) Restore Health, Bangalore, Karnataka, India.
Ramakrishna PrasadAcademy of Family Physicians of India (AFPI), National Center for Primary Care Research and Policy, Bangalore, Karnataka, India.
Asha KilaruDepartment of Maternal and Child Health Research, Bangalore Birth Network, Bangalore, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextPregnancy-related preventable morbidity and mortality remain high in India. Safe delivery services should focus on improving neonatal and maternal outcomes while also enabling a positive childbirth experience. However, high rates of intrapartum obstetric referrals are common.

objectiveTo describe the timing and the reasons for obstetric referrals to a public tertiary care hospital in Bangalore and characteristics of the referring facilities.

methodsWe interviewed 320 women who delivered at the tertiary care hospital within a one-month time frame prior to the interview and who originally planned to deliver elsewhere.

resultsNinety four percent of women in the study reported that the decision to transfer to the tertiary hospital was made after the onset of labour. Referrals were made for medical as well as non-medical reasons. About a third (35%) had to take loans to cover the expenses of childbirth.

conclusionsReferrals frequently occurred after the onset of labour. Our data imply that improving obstetric referral protocols will improve the birth experience and reduce the burden on tertiary care facilities and on the women themselves.

Indexed as

Intrapartum referralsobstetric referralsobstetricstertiary care hospital

Identifiers

PMID31463261
PMCPMC6691466

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.