Table 2 Number of women referred, proportional complied, and proportional traced after not complying with referral advice according to indications.
Indication for referral | Referred | Complied | Did not comply | |
|---|---|---|---|---|
Traced | Lost to follow-up | |||
Number | n (%) | n (%) | n (%) | |
Demographic risk factors | ||||
≥5 pregnancies | 529 | 146 (28) | 257 (49) | 126 (24) |
Age <20 years | 465 | 222 (48) | 141 (30) | 102 (22) |
First pregnancya | 37 | 12 (32) | 15 (41) | 10 (27) |
Intercurrent illnessesb | 15 | 7 (47) | 5 (33) | 3 (20) |
≥10 years since last delivery | 13 | 5 (38) | 5 (38) | 3 (23) |
History of severe bleeding after delivery | 6 | 2 (33) | 3 (50) | 1 (17) |
≥3 consecutive abortions | 5 | 0 | 3 (60) | 2 (40) |
Pregnancy at ≥35 yearsa | 2 | 1 (50) | 1 (50) | 0 (0) |
First pregnancy at ≥35 years | 1 | 1 (100) | ||
Other indicationsc | 6 | 4 (67) | 1 (17) | 1 (17) |
Total | 1079 | 400 (37) | 431 (40) | 248 (23) |
Obstetric historical risks | ||||
Previous caesarean section | 115 | 79 (69) | 18 (16) | 18 (16) |
Height <150 cm | 48 | 31 (65) | 12 (25) | 5 (10) |
Stillbirth/Perinatal death | 19 | 11 (58) | 1 (5.3) | 7 (37) |
Pelvic deformity | 4 | 0 | 4 (100) | 0 (0) |
Total | 186 | 121 (65) | 35 (19) | 30 (16) |
Prenatal complications | ||||
Haemoglobin < 60% (8.5 gm/dl) | 42 | 18 (43) | 13 (31) | 11 (26) |
Blood pressure ≥140/90 mmHg | 35 | 23 (66) | 6 (17) | 6 (17) |
Abnormal lie/presentation at >36 weeks | 33 | 18 (55) | 10 (30) | 5 (15) |
Vaginal bleeding | 27 | 12 (44) | 8 (30) | 7 (26) |
Uterus too big for date | 26 | 20 (77) | 4 (15) | 2 (7.7) |
Oedema of hands and face | 16 | 9 (56) | 3 (19) | 4 (25) |
Intrauterine foetal death | 4 | 3 (75) | 1 (25) | 0 (0) |
Albumin in urine | 2 | 1 (50) | 0 (0) | 1 (50) |
Pregnancy >40 weeks | 2 | 1 (50) | 0 (0) | 1 (50) |
Threaten abortion | 2 | 1 (50) | 1 (50) | 0 (0) |
Total | 189 | 106 (56) | 46 (24) | 37 (20) |
Natal complication | ||||
Labours for >12 hours/obstructed | 64 | 51 (80) | 8 (13) | 5 (7.8) |
Eclampsia | 10 | 7 (70) | 1 (10) | 2 (20) |
Spontaneous rupture of membrane without labour | 7 | 5 (71) | 1 (14) | 1 (14) |
Cord presentation | 1 | 1 (100) | ||
Total | 82 | 64 (78) | 10 (12) | 8 (9.8) |
Immediate postnatal complication | ||||
Blood loss ≥500 ml | 1 | 1 (100) | ||
Retained placenta | 1 | 1 (100) | ||
Total | 2 | 2 (110) | ||
Total | 1538 | 693 (45) | 522 (34) | 323 (21) |