Reasons for referrals and time spent from referring sites to arrival at Tikur Anbessa Hospital in emergency obstetric: A prospective study

  • Tadesse Kitilla


Background: Problems associated with emergency obstetrics referrals often cause serious life threatening conditions.
Objective: The objective was to determine the reasons and conditions in emergency obstetrics referrals and the time spent in the process of referral.
Methods: A prospective study was conducted in a Federal Referral and University Teaching Hospital (Tikur Anbesa Hospital) in Addis Ababa. The data were collected from the referral notes and by interviewing.
Results: The Hospital had received 496 emergency referrals of which 459(92.5%) were from within Addis Ababa city and 37(7.5%) from outside. A mean delay time from arrival at referring sites to arrival at Tikur Anbessa Hospital was four and half-hours (two hours 48 minutes at referring site plus one hour and 42 minutes of referral-arrival interval). In 86% of cases, the reasons for referral were non-medical.
Conclusion: Referrals from hospitals within the city were mainly for non-medical reasons and late. These referring hospitals can render themselves an effective obstetric care if conditions are improved.

(Ethiopian Journal of Health Development, 2001, 15(1): 17-23)

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