Emergency rural obstetric transfers in South Australia: a review of the clinical and precipitating factors

Ashlee K Rigby; Janet N Richards; Jennene Greenhill

doi:10.22605/RRH4634

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Emergency rural obstetric transfers in South Australia: a review of the clinical and precipitating factors

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Emergency rural obstetric transfers in South Australia: a review of the clinical and precipitating factors

Ashlee K Rigby, Janet N Richards and Jennene Greenhill

Rural and remote health, Vol.19(1)

06/02/2019

DOI: https://doi.org/10.22605/RRH4634

PMID: 30721624

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Abstract

perinatal care

maternal health

pregnancy complications

pregnancy outcome

Australia

The provision of critical management of obstetric emergencies is a vital service for rural women and their families. Emergency obstetric transfers are indispensable to reduce maternal and neonatal mortality and morbidity because local rural hospitals often do not have the resources or expertise to manage both maternal and neonatal outcomes. However, the transfer of a rural pregnant woman to a higher level, tertiary perinatal centre (TPC) is often stressful for the patient and costly for health services. Currently, little is known about the main reasons for obstetric transfers in rural South Australia, and there is even less information about the management of mothers and babies once they arrive at their destination. The present guidelines for informing the necessity of transferring from a rural or remote area to a TPC are unclear. This study aims to describe the clinical reasons for obstetric transfers from a rural area in South Australia and explore predictive factors of likelihood of delivery on transfer. Additionally, this study aims to determine the outcomes of transfers in terms of location of delivery, timing of delivery and to explore the association between delivery after transfer and clinical reasons for transfer.

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Title: Emergency rural obstetric transfers in South Australia: a review of the clinical and precipitating factors
Creators: Ashlee K Rigby - Flinders Medical Centre
Janet N Richards - Flinders University
Jennene Greenhill - Flinders University
Publication Details: Rural and remote health, Vol.19(1)
Identifiers: 991013042988202368
Copyright: This work is licensed under a Creative Commons Attribution 4.0 International Licence.
Academic Unit: Faculty of Health; Nursing
Language: English
Resource Type: Journal article

Emergency rural obstetric transfers in South Australia: a review of the clinical and precipitating factors

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