Recommendation and Conclusion
- The results clearly reflect that presence of delay and its increasing
duration play a vital role in increasing maternal and perinatal
mortality. So concrete steps should be taken to address these issues
in a way that they are socially acceptable also. This implies that
social and health initiatives taken to decrease duration of level 1
delay will go a long way in decreasing maternal morbidity and
mortality.
- It was also evident by results that patients who had timely surgical
intervention had less maternal and perinatal mortality. So, at
tertiary care level, improvements should be done to bridge the gap
between infrastructural facilities and the growing demands by building
dedicated obstetric ICU, recruiting more trained staff and developing
obstetric corridor in every tertiary care hospital to reduce the
delay. Facilitating triage and fast tracking of the patients should be
done for better outcome.
Acknowledgements: Dr Gargi Chowdhary DNB student Deen Dayal
Upadhyay Hospital, Hari Nagar, New Delhi, India
Disclosure of interests : None